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Viking Girls Summer Basketball Clinic
A fun clinic is fun with a lot of players. Our goal is to have 30+ girls to sign up.
Summer Clinic Dates and Details
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了解详情
* 表示必填
Player Last Name
*
您的回答
Player First Name
*
您的回答
Grade entering fall of 2024
*
1
2
3
4
5
6
7
8
9
Player T-Shirt Size
*
YOUTH Small
YOUTH Medium
Adult Small
Adult Medium
Adult Large
Adult XL
Parent/Guardian email
*
您的回答
Parent/Guardian email 2 (optional)
您的回答
Emergency Cell
*
您的回答
Up to date physical?
*
YES
No
Allergies, Current Medications, medical-Record NONE if none
您的回答
Emergency Medical Care
: I give authorization for emergency medical care should the need arise.
*
YES
NO
Payment: Grades 4-9 $165; Grades 1-3 $90-Select the way you will pay.
*
Venmo to Gregg Dollas @GreggDollas last 4 of cell 4360
Check written to Gregg Dollas and Mailed to Gregg Dollas, 58 Thompson St. Amesbury Ma 01913
必填
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此表单是在 Triton Regional School District 内部创建的。
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