New 2018 West Boys Basketball Camp

2018 West Boys Basketball Camp
Athlete Information
Athlete's Name*

First NameLast Name
Paid
Camp/League*
Fall 2018 Grade*
T-Shirt Size*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date*

MonthDayYear
Notes
Home Number

Area CodePhone Number
Cell Number*

Area CodePhone Number
Cell Number 2

Area CodePhone Number
Graduation year*
Student ID Number (Lakota Students only)
Mom's Name
Dad's Name
Name of Winter Basketball team

	Cost
Camp and League	$185
Camp Only	$120
League Only	$80

IF UNABLE TO USE LAKOTA EZ-PAY

Send or deliver registration and fees to:

Lakota West Boys Basketball c/o

Lakota West HS

8940 Union Centre Blvd.

West Chester, OH 45069

Questions?

Please contact Chris Thompson (christine.thompson@lakotaonline.com)
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