Wyoming Valley Clutch Black Friday Basketball Camp

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Wyoming Valley Clutch Basketball Camp - November 25, 2022 - 9:00 AM to 1:00 PM - $40 per participant

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Camper Information

First Name *

Last Name *

Gender *

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Grade *

Date of Birth *

School *

Street Address *

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State *

Zip Code *

Parent/Guardian *

Phone Number *

Emergency Contact (Name) *

Emergency Contact Number *

Waiver

I , the parent/guardian of the registrant, a minor, do agree and will abide by all the rules of the Wyoming Valley Clutch LLC & Catholic Youth Center (CYC). l recognize the possibility of physical injury associated with participating in Wyoming Valley Clutch LLC & CYC sponsored activities, and in consideration for the Wyoming Valley Clutch LLC & CYC providing these activities, do release the Wyoming Valley Clutch LLC & CYC and its staff members from all liability for any injuries sustained while on CYC property and/or participating in CYC activities.

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