Lady Pirates Basketball Camp Registration
Cumberland Lady Pirates will be hosting a basketball camp for girls entering 1st-8th grades. Camp will be held May 22nd-24th at CMS! Cost: $40 (includes camp T-shirt). Checks made to: CHS Girls Basketball. In order to guarantee a shirt, payment should be mailed to: 
Sammi James 
Cumberland Middle School
1496 IL Rt 121
Toledo, IL 62468

Or dropped off in CES/CMS office by May 10th. Walk-ins are welcome, but will not be guaranteed a T-shirt.

Grades 1st-4th: 8:00-9:15am
Grades 5th-8th: 9:30-11:00am
Sign in to Google to save your progress. Learn more
Name *
Incoming Grade  *
Shirt Size  *
Parent/Guardian Name *
Parent/Guardian E-mail  *
Parent Guardian Cell # *
Emergency Contact Name *
Emergency Contact Cell #  *
** My typed name below indicates that I give permission for my child to participate in Cumberland Girls Basketball Camp from May 22nd-24th. I understand that my consent releases Cumberland CUSD #77, Samara James, and camp staff of all liability in the event of an accident or injury that may occur while attending camp. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cumberland CUSD #77. Report Abuse