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.
K-4th Grade Girls Basketball 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?
1st
2nd
3rd
4th
5th
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.