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 High School 9th-12th 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?
9th
10th
11th
12th
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.