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25-26 GIRLS BASKETBALL INTRAMURALS @ CLWCC- GIRLS GRADES 4-5-6th
Grades: 4-5-6 (Girls)

Dates/Times: Wed.10/29 from 5:30-7:30pm, Sat.11/1 from 11am-1pm, 
Wed. 11/5 from 5:30-7:30pm, Sat.11/8 from 11am-1pm, 
Wed. 11/12 from 5:30-7:30pm, Sat.11/15 from 11am-1pm, 
Wed. 11/19 from 5:30-7:30pm, Sat.11/22 from 11am-1pm

Instructor(s): Bri Chiarello, Amber Such Pesa, Ashlyn Cleevely and staff

Need: Athletic clothes, Indoor athletic shoes, water bottle
Location:CLWCC

Registration Form:
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Email *
Child's first and last name? *
Parent's first and last name? *
Phone number: *
What is your Address? (ex. 123 Memorial Rd. Campbell, OH 44405)
What grade? *
What size t-shirt do you wear? *
List any Allergies/Medications? *
PARENT/GUARDIAN Insurance Waiver: I assume full responsibility for insurance coverage of my daughter/son and will not hold responsible, anyone connected with the Campbell City Schools, for any injury incurred by my daughter/son while in attendance at the Campbell City Schools’ Event at the CLWCC. Please list the parent/guardian/emergency contact person and phone number below. By filling this out, you are agreeing to sign this waiver for your child: *
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