Open Invitation 

Boxing Camp

July 4 - 6, 2008

REGISTRATION FORM

Name: _________________________________________________

Address: _______________________________________________

Contact Person: _________________________________________

Phone :(H)_____________ (W)_____________(C)_____________

Health Care #: __________________________________________

Date of Birth: _________________________________________

Any Medical Problems?: _________________________________

Parent or Guardian

Signature: ___________________________________________

Please bring to camp:         Personal toiletries, sleeping bag or bedding, swim suit,

                                      Ball glove, gym shoes, pocket money (minimal amount)

                                      Outdoor wear, skipping rope, boxing gear

Camp phone numbers:       Lodgepole (780) 894 2229, Sylvio’s Mobile (780) 863 1321

Any Questions?  Contact Sylvio Fex at (O) 780 427 5466 (M) 780 863 1321 or

                                                Email: s.fex@telus.net

Cost per participant:  $ 75.00

Send Registration Form and Fee to:        Boxing Alberta,

                                                                        11759 Groat Road,

                                                                        Edmonton, AB T5M 3K6