KIDS DECEMBER 2007 DAY CAMP APPLICATION
MUSC KIDS BOOT CAMP
Exercise and Nutrition for Life
Mom’s go shop while your kids are getting healthy!!

Session: Friday December 21, 2007
  9:00am – 2:00pm
  Harper Student Wellness Center

FEE:  $50.00

Name:   ___________________________________

Address:  _________________________________

Age:  ________________   Grade in School _____________

Parent’s Names:  _____________________________________

Phone Numbers:  _____________________________________

Medical Concerns:  ___________________________________

Be at Harper Student Wellness Center downstairs lobby on Friday Dec. 21st at 9:00am.  You may park outside the downstairs doors for the drop-off and signing of liability forms.  No parking necessary for pick-up – just pull up outside the doors in the “horseshoe” area.  

Mail above application with check payable to Harper Student Center:

Janis Newton – Harper Student Center
45 Courtenay Dr.
Charleston, SC  29401