Elzy Era Girls Basketball Clinic - Pikeville
Date: Wednesday, July 14th - 2:00 to 5:00 pm
Event Address: Pikeville High School, 120 Championship Drive, Pikeville, KY 41501

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Participant Name *
Participant Age *
Participant Gender - Reminder, clinic is only open to girls *
Participant Grade Level for the 2021-22 School Year *
Participant T-Shirt Size *
Name of Participant's Emergency Contact *
Emergency Contact Phone Number *
Emergency Contact's Relationship to Participant *
I understand that I will need to email copies of the participant's insurance card (front and back), current physical (within the last year), and signed waiver to ukhoopscamps@uky.edu by July 11th. *
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