NW Girls Basketball Skills Camp
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Player Name *
Parent Name *
Address *
Phone # *
E-Mail Address
What school does the child attend? *
What grade is child in? *
Emergency Contact (Name and Phone #) *
I certify the above information is correct and that the individual listed above has my permission to enroll in the Des Moines Public Schools Sports Camp(s) indicated. Des Moines Public Schools, its agents and representatives will not be held liable for any injuries, loss of property or any accidents during this program *
Required
Adult t-shirt size *
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