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Dates: June 21, 2010 to June 23, 2010

School:  Wellston High School
City:  Wellston
State:  Ohio (OH)

Location of Camp: Wellston, OH

For: Both Boys and Girls

Grades: rising 7 to 12

Times Each Day: 9:00am-4:00pm each day

Total Costs: $109

Description:

Coaches Information:
Host Coaches Name:	Coach Jim Derrow
Address:	421 South Michigan Ave.
Address2:
City:	Wellston 45692
State:	OH
Phone Day:	740-384-2131 x2429
Phone Evening:
Coach's Email:	jderrow@wcs.k12.oh.us
View and Print Camper Registration Brochure or Sign Up Oline below!

Camper Sign Up:
Name
Gender:	Boy Girl
E-Mail Address:
Home Address				Home Phone
Unit		City		State		Zip
School Name
T-Shirt Size	YL S M L XL XXL
Parent(s) Name
Disclaimer:
I am a Parent or Guardian of the camper registered herein. I hereby authorize the Program Director and all members of the Shot Doctor Camp staff to act on my behalf in any emergency situations requiring immediate medical attention. I also certify that the camper registered herein is covered by a comprehensive medical insurance plan or is self insured. I hereby release the camp staff, Shot Doctor Basketball, U.S.A., the Facility and any employee of the Facility of any and all liability for any illness or injury incurred by the above named participant while at camp or while in transit to or from camp.
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