Camp Registration Go backThank You! Thank you for registering your camper! An invoice will be forthcoming with payment details to finalize your registration. Camper’s First Name(required) Warning Camper’s Last Name(required) Warning Address(required) Warning City(required) Warning State(required) Warning Zip Code(required) Warning Age(required) Warning Birthday(required) Warning Camper Grade Level(required) Rising 2nd Rising 3rd Rising 4th Rising 5th Rising 6th Rising 7th Rising 8th Rising 9th Rising 10th Warning Camper T-Shirt Size(required) Youth S Youth M Youth L Adult S Adult M Adult L Adult XL Adult 2XL Adult 3XL Adult 4XL Warning Parent/Guardian Phone(required) Warning Parent/Guardian Email(required) Warning Which week would you like to attend?(required) Select one option June 23 – 27 Warning Waiver Form Please read the following waiver form. Your check below will serve as an electronic signature. Warning I, the parent/guardian named below, consent, understand, and agree with the information listed on the waiver form for my camper.(required) Warning Name of Parent/Guardian(required) Warning Date (YYYY-MM-DD)(required) Warning Emergency Contact Emergency Contact Person(required) Warning Emergency Contact Phone Number(required) Warning 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! Warning. SubmitSubmitting form Δ
Edgar Randall Basketball Camp 