2024 Summer Camp Detailed Registration Form

2024 Firebird Hoops Camp of Champions
June 3rd-6th

K-5th 9am-11am & 6th-9th 1pm-3:30pm
Athlete Information
Camp/League Options*
Athlete's Name*

First NameLast Name
Paid
Check # or cash
Covid-19 waiver
Fall 2024 Grade
Graduation year*
School*
T-Shirt Size*
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date*

MonthDayYear
Home Number

Area CodePhone Number
Cell Number*

Area CodePhone Number
Cell Number 2

Area CodePhone Number
Student ID Number (Lakota Students only)
Guardian Name
AAU Team
Is the student covered by a medical insurance policy?*
If yes, please list insurance company name and policy number.*
Notes

West HS Girls Basketball Camp Only Grades K-9	$110.00
West HS Girls Basketball Summer League Only Grades 4-9	$100.00
West HS Girls Basketball Camp & League Grades 4-9	$175.00
Camp, League & LWGB TEAM CAMP Combo Grades 8-9	$250.00
West Girls Basketball Mini-Camp Grades 7-8	$75

Lakota Students pay with EZ Pay

All Checks make payable to Lakota West Girls Basketball.

If you have any questions please email:

Chris Thompson

christine.thompson@lakotaonline.com
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