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MOUSSA DRAME’S
SHELTER ISLAND TENNIS CLUB

Pridwin Hotel, Shelter Island, NY
Moussa’s Cell: (917) 209-6615 Clubhouse: (631) 749-0799

BRICK COVE SWIMMING AND TENNIS

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Swimming and Tennis junior camp for children ages 7 through 18 at Black Cove Marina.

Weekly price: $400 for Five Sessions or $120 for One Session

Multiply number of weeks by $400 per week or single sessions by $120

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RELEASE

I ACKNOWLEDGE THE RISKS OF INJURY WHICH ARE INHERENT IN ANY PROGRAM INVOLVING PHYSICAL ACTIVITY, AND AS THE PARENT/GUARDIAN OF ABOVE CAMPER, I HEREBY WAIVE AND RELEASE ANY AND ALL RIGHTS AND CLAIMS FOR DAMAGES AGAINST MOUSSA DRAME, MOUSSA DRAME TENNIS, THE PRIDWIN HOTEL, AND THE DERING HARBOR INN AND THEIR RESPECTIVE REPRESENTATIVES FOR ANY AND ALL INJURIES SUSTAINED BY THE CAMPER IN CONJUNCTION WITH PARTICIPATION IN THIS PROGRAM. I HEREBY GIVE MY CONSENT TO EMERGENCY MEDICAL CARE, INCLUDING TRANSPORTATION, IN THE EVENT OF INJURY OR ILLNESS OF CAMPER.