Summer Girls Basketball & Athlete Development Clinic 2022
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Basketball Clinic Registration (#3)
Athlete's First Name
Athlete's Last Name
Athlete's Gender
- Select -
Female
Male
Athlete's Grade
T-Shirt Size (Adult Sizes)
- Select -
Small
Medium
Large
X Large
not wanted
Clinic Session 1: 11am-2:00pm Aug 15th to 18th
Session 1
Address
Address Line 1
Address Line 2
City
State
Zip Code
Parent / Guardian First Name
Parent / Guardian Last Name
Parent / Guardian Email
Parent / Guardian Home/Cell
Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Relationship
Emergency Phone Number
Names of Designated Child Collectors
Names of Designated Child Collectors - Continued
Child Allergies
Special Medical Concerns
Continue to Payment
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