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Eastmont Basketball Clinic
What:  “Fun”damentals Basketball Clinic
Where:  Eastern Montgomery High School
When:  June 2, 3, & 4 (Tues., Wed., & Thurs.)                                               
Time:  10:00-12:00
Who:  2nd - 8th grade Boys and Girls
Cost:  $25.00

Start the summer off right and brush up on your basketball skills.  EMHS is the place to be June 2-4!  If you would like to attend please fill out the items below and submit, or print and return the form to EMES, SMS, or EMHS by Monday, May 27th.  EMES and SMS students may return their info and payment to the main offices at their school or registration and payment can be dropped off in the EMHS main office.  All proceeds will be split between the EMHS girls and boys basketball teams.   Please contact Coach Stewart for camp scholarship information.  If you have any questions please email Coach Stewart at jordanstewart@mcps.org

**Make checks payable to EMHS.                

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Camper's Name *
Camper's Grade  *
School Camper Attends *
Parent's Name *
Contact Number *
Emergency Contact Number *
Are there any medical concerns or issues we should know about while at camp? *
By typing your name below you recognize the following:  Assumption of Risk- I for myself and/or my child named on this form as a patron and/or participant in said Eastern Montgomery High School (MCPS) program, am aware of the possibility of accidental or other physical injury which may befall me or my child during participation in said program. I assume the risk of possible accidental injuries I or my child may incur and hereby indemnify Eastern Montgomery High School and MCPS and do hereby indemnify and release from any liability or cause of action, EMHS/MCPS, its successors, employees, and volunteers. I understand that photographs or videos of me or my child may be taken during said program, that my or my child’s likeness may appear in media coverage and publicity regarding said program, which no compensation in any form will be made by EMHS/MCPS, and I give my consent to these conditions.  Please type your name below. *
Payment plan? *
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