Southside Panthers December Youth Basketball Camp Online Registration
Southside Panthers Youth  Basketball Camp
December 1, 8, and 15, 2019
Southside High School Competition Gym
1:30-4:30 pm
Cost $20 Per Day or $50 For All Three Days
Open For Kids 1st-6th Grade
Registration Is Open For All Interested
For More Information Contact Chad Holderfield
(256) 458-8246
chad_holderfield@ecboe.org


You can also print and mail registration and payment to:
Southside High School
Attn: Coach Holderfield
2361 School Drive
Southside, Al 35907
Please Make Checks Payable to: Southside Athletic Foundation
You can also bring payment the first day of the camp.
Link for downloadable paper registration form:
https://docs.google.com/document/d/19zFjpKYxJClGchpYrAj2vwmB1WFg75jJ4JwaTrUV3Dg/edit?usp=sharing

Paper Registration will also be possible the day of the Camp


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Campers First Name
Campers Last Namello
Parents/Guardian Name
What days will your child be able to attend
Phone Number
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Emergency Contact Name and Number
Medical Conditions
Campers Age
What grade is your child? *
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My child has permission to participate in the Southside High School Basketball Camp. I understand that the risk of injury does exist in athletic activity. I will assume any cost incurred due to injuries sustained by my child during their participation in the camp. We have insurance that will cover our child during his participation in the Basketball Camp.  Please Insert your name and date to serve as your electronic signature
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