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Crusader Basketball Camp
Fourth Presbyterian Church

July 17-20th, 2017

Make checks for $65.00 to: Fourth Presbyterian Church

There could be a situation where a camper needs to play up or play down due to size or experience (call if you have questions or concerns). It is very important that each camper is comfortable and does not feel out of place in the group he or she is in.

Camper Name
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Address
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Home Phone
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Cell Phone
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Email
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Age of Camper
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Male or Female
Grade Completed
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Parent/Guardian name
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___________ has my permission to attend the Crusader Basketball Camp at Fourth Presbyterian Church. The church, church staff, nor camp staff will not be held responsible for accidental injury while attending camp. (Please type name below)
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Electronic Parent/Guardian Signature (Please type name below)
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Date
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DD
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