OMG BOYS Travel Team - Camp Registration Form

OMG+AAU Winter Club Basketball Team- Boys ONLY

To book for a place in the the camp, you must complete the form below accurately.
Camper's Name:*

First NameLast Name
Birth Date:*

MonthDayYear
Home Phone Number:*

Area CodePhone Number
Mobile Number:

Area CodePhone Number
Email Address:*
Desired Name Tag:*
Primary Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Select Camp shirt size:*

SmallMediumLargeExtra-large
Please provide any medical or dietary restrictions you have:
How did you hear about Camp?:*