Register for Youth Basketball Camp

Email Secondary Email

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Parent/Guardian Information

Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Cell Phone Number *

Child's Name *

T-Shirt Size *

Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large

Please fill out separate form for each child registered for the event.

Parents will need to fill out a waiver on the first day of camp.

* required field