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CBA-Rockville Summer Camp Registration
Registration for Tuesday and Thursday summer camp sessions. June 30 - August 20. Cost: $50 per session. 4960 Boiling Brook Parkway, Rockville MD 20852
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Student Full Name
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Parent or Guardian Name
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Student Age
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Phone Number
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Email Address
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Emergency Contact Numbers
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Medical Conditions or Allergies
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Select Sessions (Tuesdays and Thursdays, $50/session)
Tuesday 1:30 PM - 4:30 PM
Thursday 1:30 PM - 4:30 PM
Week 1: June 30 - July 2
Week 2: July 7 - July 9
Week 3: July 14 - July 16
Week 4: July 21 - July 23
Week 5: July 28 - July 30
Week 6: August 4 - August 6
Week 7: August 11 - August 13
Week 8: August 18 - August 20
Tuesday 1:30 PM - 4:30 PM
Thursday 1:30 PM - 4:30 PM
Week 1: June 30 - July 2
Week 2: July 7 - July 9
Week 3: July 14 - July 16
Week 4: July 21 - July 23
Week 5: July 28 - July 30
Week 6: August 4 - August 6
Week 7: August 11 - August 13
Week 8: August 18 - August 20
Waiver and Release
I hereby release CBA-Rockville from any liability for injuries or damages arising during camp activities. I understand the risks involved in sports activities and agree to hold the facility harmless.
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