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Name:       

Address:   

City:                             Prov./State:

Phone:                             Postal Code:

E-Mail:

Age:                Position Played:

Program Requested: (Check One)

Adult Skills Camp

__  Week 1 - August, 2009 (Fee: $349.00  CDN)

__  Week 2 - August, 2009 (Fee: $349.00  CDN)

Signature:                                      Date:

(PLEASE PRINT THIS PAGE)

PLEASE READ THE APPLICATION

CONDITIONS BEFORE SENDING IN YOUR

APPLICATION FOR THE PROGRAM