Base Basketball Camp

Base Basketball Camp

Registration
Camper

First Name Last Name
School
Age
Parent Name
Parent Email
example@example.com
Parent Phone #
T-Shirt Size

Adult Small Adult Medium Adult Large Adult XL

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Pay Now (Optional)

June 17-20 $ 175.00

Total $ 0.00
*Payment is also accepted in cash or check (Matt Vest)

*Medical Release Forms will be emailed to parents once registered.
Should be Empty: