SUMMER PROGRAMS

Shopping Cart

Your Cart is Empty

Quantity:

Subtotal

Taxes

Shipping

Total

There was an error with PayPalClick here to try again

Thank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart

NewFlex Youth Programs Inc.

250 South 6th Ave, Mt Vernon, NY 10550

mason.script.plugins.twitterTweetPlugin.tweet

Summer Program Registration

PLEASE NOTE ALL SCHOLARSHIP WEEKS ARE OPEN TO REGISTERED YOUTH ENROLLED IN AT LEAST 1-2 REGULAR WEEK SESSIONS

****SPEED & AGILITY SESSIONS ARE HALF DAY****

SOME WEEKS FULL DAY. INQUIRE ABOUT OTHER FULL DAY OPTIONS.

CIT-Counselor In Training Qualifications & Reqs.

Child's Information

First Name

Last Name

Gender

Male/Female (5-6)Male (7-9)Female (7-9)Female (10-13)Male (10-13)Female (7-17) Speed & Agility ProgramsMales (7-17) Speed & Agility ProgramsCounselor In Training (14-15)

Date of Birth

Address, City, State, Zip

Person Registering Name

Relationship To Child

Email Address

You are this person's parent of legal guardian

I consent to being the legal guardian

Select Week Sessions

June 24-26 (Camping Leadership Wknd) limitedspaceJune 27-July 1 (NewFlex HOOPS) Mt Vernon, NYJuly 5-8 (NewFlex HOOPS)July 11-15 (NewFlex HOOPS)July 18-22 (NewFlex HOOPS)July 25-29 (MVP BBALL scholarship WK) limitedJuly 25-29(CAMP MORTY) or HOOPERSTOWN HOOPSAug 1-5th (HOOPERSTOWN HOOPS)/CAMP MORTYAUG 19-21 (BRANT LAKE SCHOLARSHIP WKND)limited

Primary Parent Guardian First Name

Last Name

Gender

MaleFemale

Home Phone

Address, City, State, Zip, if different from child

Secondary parent/guardian (optional) First name

Last name

Gender

MaleFemale

Home Phone

List & contact of persons/guardians authorized to pick-up my child at the end of each day or in the event of emergency

Please submit any further inquiries regarding our summer programs below

My child is authorized to walk home

YESNO, Someone will pick up

CHOOSE SUMMER PROGRAM Hrs DESIRED

Speed and Agility & BASKETBALL (2.5hrsdaily)Summer Program (9-3)ICall for detais-limited weeks

This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.

Thank you for contacting us. We will get back to you as soon as possible

DOWNLOADABLE APPLICATION

APPLICATIONSUMMERPROGRAM2012.doc

SUMMER PROGRAM FEES CAN BE SUBMITTED VIA CREDIT CARD OR PAYPAL: NOTE REGISTRATIONS WILL NOT BE VALID WITHOUT RECEIPT OF FEE & COMPLETION OF BELOW WAIVER

WAIVER LIABILITY I hereby release and discharge NewFlex Hoops, the hosting school and affiliated entities, and their respective officers, servants, agents or employees from any and all liability whatsoever arising out of or in connection with my participation, or my child’s participation in the NewFlex Hoops Clinics, Open Gym, or Other activity. (minors must have this permission slip completed by parents or legal guardians) . Submit child's name and his/her birthdate along with parent/guardian name as signature approval.

I hereby authorize use of my child's pictures or videos, taken during involvement in NewFlex events, to be used for promotional purposes (website, brochures, etc.). Submit child's name and his/her birthday along with parent/guardian name as signature approval.

This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.

Thank you for contacting us. We will get back to you as soon as possible

View Cart