Elementary School - High School Basketball Game Signup

Student's Name *

First Name Last Name

Grade *

School *

Parent Phone # *

Area Code Phone Number

Parent Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Parent Email Address *

example@example.com

List of Any Food Allergies

T-Shirt Size *

Payment

You may pay online or by check. Online payments will incur a small convenience fee ($1.17) charged by our payment provider.

Form and payment due December 12th. You may also drop off registration forms to Avon High School.

Payment Type:

Online Check

Amount Due

Amount Due: $30

Check Payments: If paying by check, please make checks out to Avon Choral Boosters. After submitting this form, you will receive an email confirmation with your completed form. Please mail the form and your check to the following:

Avon Choral Boosters

Attn: Elementary School/Accents Performance

7575 E County Rd 150 S, Avon, IN 46123

Credit Card

USD Description

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Questions? Contact Leah Trigg (317-544-5000 ext. 5088) or e-mail lmtrigg@avon-schools.org