State Fair Men's Basketball Jr. High Camp
Sign-Up Form
Camp Selection - Please bring payment on first day of camp in form of cash or check
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Jr. High Camp
Camp for 6th-8th graders
June 10th-12th - 1:00pm-4:00pm
Includes T-Shirt & Basketball
$75.00
$
75.00
Quantity
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Name
First Name
Last Name
Other Information
Grade
Age
T-Shirt Size
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Insurance Information
Name of Insurance Company
Policy Number
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