Black Family Day: Rooted in Heritage - Building Health, Wealth and Unity Basketball Skills Camp Registration
Please fill out your child's details and indicate if you'd like to join the parents vs. kids game.
Child's Full Name
*
First Name
Last Name
Parent's Full Name
*
First Name
Last Name
Parent's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent's Email Address
*
example@example.com
Child's Current Grade
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Other
Would you like to participate in the parents vs. kids basketball game?
*
Yes
No
Would you like more information about Cocoa PAL?
*
Yes
No
Register
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