Potomac Bulldogs Basketball Camp 2024
*Complete this registration form to reserve your spot. Payment methods and information will be forthcoming by email to all registrants.  This is a Temporary Hold on your child's spot.  Once you receive the payment information email, you will have 48 hours to submit your payment to secure your child's spot for the sessions indicated on your registration below.  After 48 hours, your child's spot may be released to another child.*

Available Sessions: June 24-28, July 8-12, July 15-19, and/or July 22-26 2024
Location: Winston Churchill High School- 11300 Gainsborough Road, Potomac MD 20854
Ages: Rising 4th through Rising 9th graders
Contact us at- CoachBlumenthalCamp@gmail.com
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Participant's Name *
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School (September 2024) *
Grade (September 2024) *
Parent Name(s) *
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Parent(s) Email *
Parent(s) Email
Parent(s) Phone *
Emergency Contact *
Emergency Contact (Relationship to Participant) *
Emergency Contact Phone *
Physician Name and Phone Number *
T-Shirt Size *
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