| *Name | |
| *Email address |
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| Age |
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| Parent/Guardian |
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| School | |
| Sports played |
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Women's Basketball |
| |
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Men's Basketball |
| |
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Volleyball |
| |
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Football |
| |
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Track |
| |
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Softball |
| |
| Other |
| If other, please specify. |
|
| Home Address |
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| City | |
| State |
|
| Zip Code | |
| Home Phone |
|
| How did you hear about the agency? |
|
|
If other, please specify.
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*Please take the time to list your expectations for camp.
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