Red and Black Basketball Camp Registration Form
Session 1: Monday, July 18 to Thursday, July 21

Session 2: Monday, July 25 to Thursday, July 28

Hours: 9:00 am to 3:00 pm

Location: Northern Highlands High School
                 298 Hillside Avenue
                 Allendale, NJ 07401

Cost: $300 for 1 week or $500 for both weeks.  Camp is more fun with friends and family.  Provide the name of a friend or family member you are going to camp with.  Each friend/family member will save $25 off their registration making it $275 for 1 week or $475 for both weeks.

Contact Us: boysbasketball@northernhighlands.org

PLEASE FILL OUT ONE FORM PER CHILD.

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Email *
Camper Last Name *
Camper's First Name *
Camper's Grade for School in Fall 2022 *
Session(s) Camper Will Attend *
Name of Friend or Family Member You Are Signing Up With to Receive $25 Discount
Camper's T-Shirt Size *
Parent/Guardian Contact Name #1 *
Parent/Guardian Email #1 *
Parent/Guardian Phone Number #1 *
Parent/Guardian Contact Name #2
Parent/Guardian Email #2
Parent/Guardian Phone Number #2
Emergency Contact Name *
Emergency Contact Phone # *
Please list any limitations or issues we should be aware of: (Ex, asthma, diabetes, allergies, heart condition, etc.) If none, type "none". *
Please list any medications the camper is currently taking: (If none, type "none".) *
Form of Payment *
A copy of your responses will be emailed to the address you provided.
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