2022 Sports Camp Registration
K-5 Fundamentals of Basketball & Soccer
Primary Parent Name
*
First Name
Last Name
Primary Parent Email
*
example@example.com
Primary Parent Phone
*
-
Area Code
Phone Number
Primary Parent Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Secondary Parent Name
First Name
Last Name
Secondary Parent Email
example@example.com
Secondary Parent Phone
-
Area Code
Phone Number
Child Information
Name of Child Participant
*
First Name
Last Name
School Grade Of Your Child As Of April
K-2
3-5
Please choose the grade level your child is in NOW, not the grade level the are GOING to be in the fall of 2022.
Child T-Shirt Size
*
XS
S
M
L
XL
Adult S
Adult M
Does Your Child Have Any Medical Or Allergy Related Concerns?
*
Yes
No
Please describe the Medical Or Allergy Related Concern(s)
Emergency Contact Information
Primary Emergency Contact
*
First Name
Last Name
Primary Emergency Contact Phone
*
-
Area Code
Phone Number
Alternate Emergency Contact
First Name
Last Name
Alternate Emergency Contact Phone
-
Area Code
Phone Number
Registration Fee = $9.00
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2022 K-5 Sports Camp Registration
$
9.00
Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Signature (Sign with finger, stylus or mouse)
*
Clear
Proceed To Checkout
Should be Empty: