Fall Boys High School Basketball Clinic 2019
Registration Form
 
Tuesdays and Thursdays 
September 3rd - October 24th
6:00 am - 7:30 am
CCA Gym
  
$175

How many students will you be registering? (max 5) *

Participant Information

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Current Total:
$0.00

Parent / Guardian Information

Relationship to Participants: *
 

Health Insurance Information

List any physical or emotional limitations your child/participant may have: *
 
List any physical or emotional limitations your child/participant may have: *
 
List any physical or emotional limitations your child/participant may have: *
 
List any physical or emotional limitations your child/participant may have: *
 
List any physical or emotional limitations your child/participant may have: *
 
By Checking this box I confirm that the participant(s) is/are covered by Health Insurance. Students must have Health Insurance to participate in this camp. Please provide Insurance Information below. *
By clicking on this form you confirm that you have read and agree to all terms in the above release and waiver. *