OLD MILL HIGH OLD MILL BASKETBALL CAMP BASKETBALL CAMP WEEK 1 June 19th-22th FIRST NAME: _______________________ OMMS NORTH/SOUTH ________________________ LAST NAME: WEEK 2 June 25, 27, 28,29th DOB: ______________________________ CAMP DETAILS NO TUESDAY (ELECTION) ADDRESS: ___________________________________ OLD MILL HIGH SCHOOL $85 Before June 15th $100 after PHONE: ____________________________ BOYS GRADES 2-9 HEALTH INSURANCE: GRADES 4-10 mfrancis@aacps.org By signing this I the parent / guardian of CELL: 410-365-5143 the above names student waive the right to hold Anne Arundel County Public SCHOOL: 410-969-9010 Schools Employees or staff liable for any 8:30 AM 3:00 PM bodily injury that may occur during said — student participation in this event. CHECKS CAN BE PARENT/GUARDIAN: MAILED TO OMHS BOYS GRADES 2-9 ___________________________________ GIRLS GRADES 4-10 TO DATE: _____________________________ $85 Before May 15th CHECKS MADE TO: OLD MILL BOYS 600 PATRIOT LANE BASKETBALL $105 After May 15th MILLERSVILLE MD 21108
OLD MILL BASKETBALL CAMP FIRST NAME: _______________________ LAST NAME: ________________________ DOB: ______________________________ ADDRESS: PHONE: ____________________________ HEALTH INSURANCE: ___________________________________ By signing this I the parent / guardian of the above names student waive the right to hold Anne Arundel County Public Schools Employees or staff liable for any bodily injury that may occur during said student participation in this event. PARENT/GUARDIAN: ___________________________________ DATE: _____________________________ CHECKS MADE TO: OLD MILL BOYS BASKETBALL CAMP DETAILS $85 Before June 15th $100 after BOYS GRADES 2-9 GRADES 4-10 mfrancis@aacps.org CELL: 410-365-5143 SCHOOL: 410-969-9010 8:30 AM — 3:00 PM CHECKS CAN BE MAILED TO OMHS TO 600 PATRIOT LANE MILLERSVILLE MD 21108 OLD MILL HIGH BASKETBALL CAMP WEEK 1 June 19th-22th OMMS NORTH/SOUTH WEEK 2 June 25, 27, 28,29th NO TUESDAY (ELECTION) OLD MILL HIGH SCHOOL BOYS GRADES 2-9 GIRLS GRADES 4-10 $85 Before May 15th $105 After May 15th