Diligent Basketball Clinic 2018
Event Time: Sundays 10:00 am - 12:00 am
Event Dates: June 10, 17, 24 July 1, 8, 15, 22, and 29 August 5, and 12
Event Address: 2001 E Randolph Rd, Silver Spring, MD 20904
Contact: Glen Charles
Contact at (301) 461-3337 glen@diligent1.club

Cost: $10.00 per clinic ($100 total)
$80.00 (if paid in full before the first clinic)

Child's Name *
Your answer
Age of the Child
Your answer
Child's Name
Your answer
Age
Your answer
Child's Name
Your answer
Age
Your answer
Parent or Guardian's Name *
Your answer
Contact Email *
Your answer
Contact Number *
Your answer
I understand that I will have to pay $$ before participation *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms