East Pennsboro Boys Basketball Camp Registration
July 20 - 23, 2026 @ East Pennsboro Middle School Gym
Athlete Information
Athlete's Name
*
First Name
Last Name
Grade
*
Parent/Guardian Information
Name
*
First Name
Last Name
E-mail
*
example@example.com
Home Number
Format: (000) 000-0000.
Cell Number
*
Format: (000) 000-0000.
Emergency Information
Emergency Contact's Name
*
First Name
Last Name
Relationship
*
Please Select
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Other
Phone Number
*
Format: (000) 000-0000.
Alternative Phone Number
Format: (000) 000-0000.
If any medical conditions we should be aware of, please explain any instructions.
*
Camp Fee
$50 per player (if a sibling signs up as well, they would be $25 per sibling). Bring check made out to East Pennsboro Boys Basketball to the first day of camp.
E-Signature
*
Submit Form
Should be Empty: