Coach Fifield's Basketball Camp Form

Coach Fifield's Basketball Camp Registration Form

2nd grade-8th Grade - July 24th-25th - 3:30-6:30pm
Camper Information:
Name

First NameLast Name
Birth Date

MonthDayYear
Grade (entering the Fall)
List Any Allergies
Parent / Guardian Information:
Name

First NameLast Name
Email
example@example.com
Cell Phone

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship with the Camper
Emergency Contacts and Authorized Pick Up Persons
Camp Information:

3:30-6:30pm - Please bring a water bottle to stay hydrated.
Camp Day/Cost:

Cost: $80
Payment Type

Check - pay day ofCash - pay day ofVENMO - pay day of
Should be Empty:

Coach Fifield's Basketball Camp Registration Form