Summer Basketball Camp 2024 Session: 1

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$55.00

Summer Basketball Camp 2024 Session: 1

SUMMER BASKETBALL CAMP

Session: 1

REGISTRATION DEADLINE: May 20, 2024

Dates: June 10 - 13, 2024

Location: A.G. Cox Middle School

Grades: Rising 4th - 8th grades

TIme: 9am - 1pm

Cost: $55.00

Description: Back 2 Basics Basketball Camp - Working on Fundamentals: shooting, dribbling, passing, defense, and more!

Must have a minimum of 10 particpants.

We will NOT issue any refunds unless minimum registration requirements are not met

Payment to: Pitt County Schools

Item Amount: $55.00 + Additional Fees:
Convenience Fee	$0.00
Item Total	$55.00

(5 remaining)

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Child's First Name *

Child's Last Name *

Date of Birth (use format mm/dd/yyyy) *

Age *

Rising Grade *

Sex *

T-Shirt Size *

Parent/Guardian *

Email Address *

Address *

City *

State *

Zip Code *

Home Phone (use format xxx-xxx-xxxx) *

Cell Phone (use format xxx-xxx-xxxx) *

Mother Place of Work *

Mother Place of Work Phone (use format xxx-xxx-xxxx) *

Father Place of Work

Father Place of Work Phone (use format xxx-xxx-xxxx)

Other Emergency Contact

Emergency Contact Phone (use format xxx-xxx-xxxx)

Doctor's Name *

Doctor's Phone (use format xxx-xxx-xxxx) *

Parent Consent/Code of Conduct *

Yes

Photo Consent *

Yes

Medical/Special Circumstances needed to be aware of *

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SUMMER BASKETBALL CAMP

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