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LRCS - Boys & Girls Basketball Camp Registration
Event Date: Monday-Thursday, June10th-13th (FREE T-SHIRT)                                                                                                                                  
   Age: Boys and Girls Entering 3rd Grade-4th Grade 3:00pm-4:30pm                                                                                                 
   Age: Boys and Girls Entering 5th Grade-8th Grade 4:30pm-6:00pm

PLEASE FILL OUT ONE FORM PER PERSON
Event Address: Lake Region Christian School GYM - 7398 Fairview RD Baxter, MN 56425
Contact Micah Benson at (612) 599-3214  email: mbenson@pcare.com 
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3-4th Camp
5-8th Camp 
Child's Full Name *
Parent Email *
Age *
Grade Entering in the fall *
What days will your child be attending? *
Required
Child's Health Concerns and Allergies *
Parent or Guardian name *
Emergency Contact phone number                                     (Parent or Guardian) *
Child's T-shirt size (cotton shirt) *
I understand that I will have to pay $100 per person before Friday - May 17th to receive t-shirt

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Required
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