2018 Summers at LREI Pre-Season Basketball Clinic Registration
This season Summers at LREI is offering a one-week Preseason Basketball Clinic! This program helps players, ages 10 to 13 to develop their basketball skills and compete against each other in games.

Dates: June 18 – June 22, the week before the camp season opens.

Time: 9:00am - 2:00pm, Monday - Friday

Where: THOMPSON STREET ATHLETIC CENTER - 145 Thompson Street

Cost: $500 for the week or $100 per day

*Campers are asked to bring bag lunches each day that do not contain nut or seed products and do not include glass containers.

Camper Name *
Your answer
Current School *
Your answer
Grade Entering Fall 2018 *
Days Attending *
Required
Grownup Name *
Your answer
Grownup Primary Contact Number *
Your answer
Grownup Primary Email *
Your answer
Additional Grownup Contact Information (Name/Cell)
Your answer
Emergency Contact *
Your answer
Authorized Pickups *
Your answer
Allergies/Medical *
Your answer
Helpful Hints about Your Camper
Your answer
Health
I represent that I am the custodial parent or legal guardian of the child I am enrolling, and that the child I am enrolling is healthy and fully able to participate in camp activities. If my child has a special need I agree to inform the camp office upon registration. I understand that no medications will be administered by the camp, unless provided to the camp by a parent/guardian with an original order to dispense said medication from the prescribing physician.


I understand that Summers at LREI is a nut and seed aware Institution, and that no foods containing nuts or seeds may be brought on site or in packed lunches.

I acknowledge and agree to Summers at LREI Health Policies and Requirements listed above. *
Payment & Registration Confirmation
Upon completing and submitting this form, please contact the Registrar's Office to process payment and receive registration confirmation.

212-477-5316 x293 or x506

We're looking forward to welcoming your family to camp this summer!

Warmly,
Summers at LREI

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