| Fill out and return to: North Jersey Running Association 310 Hamilton Ave Hasbrouck Heights, NJ 07604 (201) 803- 1796 or (551) 404 - 8425 Name: ___________________________________ (M or F) Address: ________________________________________ ________________________________________________ Home Phone #: __________________________________ School: _________________________________________ Grade (as of 9/1/10): Frosh Soph Junior Senior E-mail address: ___________________________________ How did you learn about our camp: ___________________ ________________________________________________ Date of Birth: ____________________________________ Free Tee Shirt will be given to all athletes T-Shirt Size: _____S _____M _____L _____XL Fee: $425.00 Please enclose check or money order in the amount of $75.00 (non-refundable) to reserve your place. Checks should be made out to North Jersey Running Association on or before June 15. Balance is due by July 15. |
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