McDade Park, Scranton, PA

LACKAWANNA COUNTY
Parks & Recreation
Conducted By Pace Setter Athletic
Club Of Northeastern PA at
McDade Park, Scranton, PA
•June 17th to 20th and July 8th to 11th
(For Boys & Girls Ages 7 to 10)
•July 15th to 18th (For Boys & Girls Ages 11 to 14)
9:30 AM to 12:00 PM Each Day
Cost is $40 for four days of Basketball Skills
Skills Booklet & Clinic T-Shirt Included
Call 963-6764

Commissioners
COREY D. O’BRIEN
JIM WANSACZ
PATRICK M. O’MALLEY
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Please check which class you wish to take:
 June 17, 18, 19, 20 (Boys & Girls ages 7 to 10) 9:30 am to 12:00 pm each day
 July 8, 9, 10, 11 (Boys & Girls ages 7 to 10) 9:30 am to 12:00 pm each day
 July 15, 16, 17, 18 (Boys & Girls ages 11 to 14) 9:30 am to 12:00 pm each day
Please return bottom portion of application along with $40 fee to McDade Park, Bald Mountain Road, Scranton, PA18504
Make checks payable to: LACKAWANNA COUNTY TREASURER. Attn: OUTDOOR BASKETBALL CLINIC.
PLEASE PRINT:
NAME______________________________________________________________________DATE OF BIRTH_________________________________
 MALE  FEMALE
ADDRESS_____________________________________________________________________________________________PHONE_____________________________________
E-MAIL____________________________________________________________________SHIRT SIZE: YOUTH : S____M____L____XL____ ADULT: S____M____L____XL____
(Your e-mail will only be used for upcoming clinics)
Parent/Guardian Please Read Before Signing: In consideration of the acceptance of my application I do hereby for myself; my heirs; executors
and administrators waive, release and forever discharge all the volunteers, Lackawanna County employees, their officials and McDade Park
from claims of personal injury should any occur.
PARENT/GUARDIAN SIGNATURE:_________________________________________________________________________________