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Utica City School District Summer Sport Camp & Clinic Sign Up Sheet
Camp/Clinic: Boys and Girls Swimming
Date: Monday – Friday,
August 5 - August 9, 2024
Grades 9-12
Time: 9am-11am
Location: PHS Pool
Instructor: Bryan Koscinski and Kristi Peterson, bkoscinski@uticaschools.org
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This camp/clinic is FREE of charge BUT
Students must attend a school in the Utica City School District. Students must be entering grades 5-12.
Swim Camp/Clinic basic Swimming Ability Required, Please contact instructor above for further details.
Student's Name:
*
Your answer
Student School ID#:
*
Your answer
Grade entering this fall:
*
Choose
5
6
7
8
9
10
11
12
School Attended this year:
*
Choose
Albany Elementary School
Columbus Elementary School
Roscoe ConklingElementary School
General Herkimer Elementary School
Thomas Jefferson Elementary School
Hugh R. Jones Elementary School
Hughes Elementary
Kernan Elementary School
Martin Luther King Jr. Elementary School
Watson Williams Elementary School
Donovan Middle School
John F. Kennedy Middle School
Proctor High School
Parent's Name:
*
Your answer
Parent's eMail:
*
Your answer
Parent's Phone:
*
Your answer
By submitting this form, you are giving your child permission to attend the above summer camp/clinic. Enrollment is not official and no one will be allowed to attend until a permission slip and medical authorization form is completed and delivered to program instructor.
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