Summer Camp Registration Please fill out the form completely. Payment by credit card is preferred. Athletes that register early will get a camp t-shirt. Girls Basketball 5th-8th Camp Student's First Name * Student's Last Name * T-shirt * Youth 10-12 Youth 14-16 Adult Small Adult Medium Adult Large Adult X-Large Home Phone Cell Phone * Emergency Phone List Any Health Concerns Street Address * Town * Zip Code * Birthday * Grade Level * Grade? 5th 6th 7th 8th Parent's Full Name * Parent Email * Name & Relationship of Emergency Contact Payment can be made by using a credit card or PayPal. A PayPal account is not required. Your registration will be complete and submitted after the payment has been processed. You will recieve an email to confirm your student's registration. Thank you for supporting the Neuqua Valley Summer Camp Program.