storm skills academies registration form directed by

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STORM SKILLS ACADEMIES REGISTRATION FORM

DIRECTED BY ISLAND STORM & TWO-TIME NBL ALL-STAR HEAD COACH

JOE SALERNO

(GUEST APPEARANCES BY NICK OKORIE, STEVE TCHIENGANG, AND DOUG McKINNEY)

Players Name ___________________________________________ M/F______ DOB_____________

Phone# ____________________________________Email ___________________________________

Grade Entering Fall 2014 ____________ School Attending ___________________________________

Parent/Guardian _______________________Emergency Contact _____________________________

Home Address ______________________________________ City ____________________________

Years Playing Experience ______________ Position ____________ Height ______________________

Academy Signing up for: (please check 1 or more)

Basketball Skills – Cost $125.00 – Mondays June 2,9,16,23 (Check ______)

Group 1 Boys and Girls entering Grades 6.7,8 from 6:45-7:45 pm

Group 2 Boys and Girls entering Grades 9,10,11 from 7:45-8:45 pm

Point Guard Academy – Cost $125.00 – Tuesdays June 3,10,17,24 (Check ______)

Group 1 Boys and Girls entering Grades 6.7,8 from 6:30-7:30 pm

Group 2 Boys and Girls entering Grades 9,10,11 from 7:30-8:30 pm

Sharpshooters Academy – Cost $125.00 – Wednesdays June 4,11,18,25(Check ______)

Group 1 Boys and Girls entering Grades 6.7,8 from 6:45-7:45 pm

Group 2 Boys and Girls entering Grades 9,10,11 from 7:45-8:45 pm

Big Man Camp – Cost $125.00 – Thursdays June 5,12,19,26 (Check ______)

Group 1 Boys and Girls entering Grades 6.7,8 from 6:45-7:45 pm

Group 2 Boys and Girls entering Grades 9,10,11 from 7:45-8:45 pm

At APM Centre in Cornwall, PEI

Checks should be made out to: Mullache Sports Inc. and mailed to:

STORM Skills Academies, PO Box 216, 423 Mount Edward Road, Charlottetown, PE, C1A 7K4

For Questions please email Paul Schurman at paulm@stormbasketball.ca

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