Give and Go Summer Basketball Camp Registration
Thank you for considering Give and Go Summer Camp!  Please fill out all information to the best of your ability.
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Email *
Which Camp(s) are you interested in? *
Required
Camper Name *
First and last name
Age *
Date Of Birth *
MM
/
DD
/
YYYY
Address *
City, State, and Zip Code *
Phone number (Primary Contact) *
School Attending
Dates the Camper WILL NOT be attending
T-Shirt Size (Youth Sizes) *
Parent #1 Name (first, last) *
Parent #1 Mobile Number *
Parent #1 Work Number *
Parent #2 Name (first, last)
Parent #2 Phone Number
Parent #2 Work Number
Emergency Contact Name (first, last) *
Emergency Contact Relationship to Camper *
Emergency Contact Phone Number *
Emergency Contact Address
Safety Information (please list all known conditions so that we may meet your camper's needs)
Does your camper have any medical conditions, allergies, or special needs the staff should know about?
Picture and Video Release (I hereby grant permission to Give and Go Athletics to use photographs and/or video of me taken at Summer Camp 2019 in publications, news releases, online, and in other communications related to the mission of Give and Go Athletics). *
A copy of your responses will be emailed to the address you provided.
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