Camp Registration Camper's First Name(required) Camper's Last Name(required) Address(required) City(required) State(required) Zip Code(required) Age(required) Birthday(required) Grade Rising 2nd Rising 3rd Rising 4th Rising 5th Rising 6th Rising 7th Rising 8th Rising 9th Rising 10th Rising 11th T-Shirt Size(required) Youth S Youth M Youth L Adult S Adult M Adult L Adult XL Adult 2XL Adult 3XL Adult 4XL Phone(required) Email(required) Which week would you like to attend?(required) Select one option June 19 – 23 June 26 – June 30 Both Weeks Waiver Form Please read the following waiver form. Your check below will serve as an electronic signature. I, the parent/guardian named below, consent, understand, and agree with the information listed on the waiver form for my camper.(required) Name of Parent/Guardian(required) Date(required) Emergency Contact Emergency Contact Person(required) Emergency Contact Phone Number(required) NOTE: We will send an email to you with payment instructions once you hit the submit button and we receive your registration information. Thank you! Submit Δ
Edgar Randall Basketball Camp 