March Break Basketball Camp Registration

March Break Basketball Camp Registration

Register your child for Breakdown Basketball's March Break Sports Camp. Please complete all required fields below.
Camper Full Name*

First NameLast Name
Camper Age*
Camper Date of Birth*

MonthDayYear
Date
Camper Gender*
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Current Grade*
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Email Address*
example@example.com
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Relationship of Emergency Contact to Camper*
Medical Conditions or Allergies (please specify all that apply)*
Is the athlete currently a member of the Breakdown Family

YesNo
Select Camp Session(s)*

March 16 – March 19, 9:00 AM – 3:30 PMOther

My Products

March Break Sports Camp - Breakdown Basketball

Registration fee for the March Break Sports Camp for Breakdown Basketball

$195.00CAD

Total

$0.00CAD

For E-Transfer please send payment to teambreakdown1@gmail.com include athletes name
Email
example@example.com
Signature
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