Cedar Crest Lady Falcon Youth Basketball Camp Registration Summer 2024

When: June 10-13, 2024 

Where: Cedar Crest High School  

Time: 12:30-2:30 pm 

Who: Girls entering grades 1-8 for the 2024-2025 school year 

Cost: $75 if registration and payment is received by June 7th;  $85 for walk up and late registration  

Mail Payment to: Coach Shay • Cedar Crest High School • 115 East Evergreen Road • Lebanon, PA 17042 

Make checks payable to: Lady Falcon Basketball Parent Club (Please do not send cash via mail)

**Please include player name and grade they are entering 2024/2025 on the memo line of your check 

Direct any questions to Coach Shay: ashay@clsd.k12.pa.us 

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Player First Name  *
Player Last Name *
Phone Number  *
Address: *
Email *
Grade entering for 2024/2025 School year  *
T-Shirt Size *
School Attended *
Parent/Guardian First and Last Name  *
Emergency Contact Name: *
Emergency Contact Phone Number: *
Health Insurance Company: *
Medical Concerns: *
Payment:  Please provide your check number below.  Remember to include your child's name and grade on the memo line of your check.
Agreement:  All participants agree that the Falcon Girls Youth Basketball Program will be held blameless against any liability.  Camp participants and staff will assure responsibility, cleanliness, and order during the program.  any and all damages become the financial responsibility of all participants and staff.  I authorize the staff to act for me in their best judgement. *
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