Hardwood Palace Winter Break Camp #2

Cost: $125/$175
January 2-5, 2023
Boys & Girls K-8th Grade
9:00am to 12:00pm : 9:00am to 3:00pm
(Please do NOT arrive before 8:30am)

1Contact Information > 2Clinic Dates > 3Waiver Agreements
Athlete's Name:
Athlete's Grade:

September, 2022
Address: Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Parent/Guardian Name: Parent/Guardian Name: First Last
In case of an emergency.
Parent/Guardian Phone: Parent/Guardian Phone: - ### - ### ####
Email:
School: