Registration - Men's Basketball Youth Camp
Registration - Men's Basketball Youth Camp
Camp Session:
*
Camp Session:
Youth Camp: June 16-19, 2025
Youth Camp: July 28-31, 2025
Student Name:
Student Name:
*
First
Last
Date of Birth:
Date of Birth:
*
/
MM
/
DD
YYYY
Address
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Home Phone:
Home Phone:
*
-
###
-
###
####
Mobile Phone:
Mobile Phone:
*
-
###
-
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####
Parent/Guardian Email:
*
School Attending:
*
Grade Entering in Fall of 2025
*
Shirt Size:
*
Shirt Size:
Youth Small
Youth Medium
Youth Large
Small
Medium
Large
X Large
XX Large
Emergency Contact Name #1
Emergency Contact Name #1
*
First
Last
Relationship
*
Phone Number 1
Phone Number 1
*
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-
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Emergency Contact #2
Emergency Contact #2
*
First
Last
Relationship
*
Phone Number 2
Phone Number 2
*
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-
###
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Insurance Company
*
Policy Holder Name
*
Policy Number
*
Please list any food allergies: