2020 Don Dziagwa Basketball Camp Registration
This form is a pre-registration. A $50 deposit to secure a spot, or the full payment, is to be mailed to the following address:

Don Dziagwa
c/o Tampa Catholic High School
4630 N. Rome Ave.
Tampa, FL 33603

Please note: Make all checks payable to DON DZIAGWA.
Sign in to Google to save your progress. Learn more
Please check week(s): *
Required
Student's Name *
Student's Age *
Grade in the fall *
School *
Parent's Name *
First, Last (if different)
Address *
Street, City, State, Zip
Parent Phone/Emergency Contact *
(area code) ___ - ____
Parent Email *
Parent Consent *
I hereby authorize the Directors of the Don Dziagwa Basketball Camp to act for me according to their best judgment in an emergency requiring medical attention. I hereby waive and release the Don Dziagwa Basketball Camp and Tampa Catholic High School. I know of no mental or physical problems that may affect my child's ability to safely participate in this camp. I will be responsible for any medical or other charges in connection with his/her attendance at camp.
Required
I will be paying by: *
NOTE: Make checks payable to DON DZIAGWA.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms