Youth Basketball Camp Sign Up 2025
Hello! We are excited to work with your child at our first youth basketball camp this summer. 

Please complete the form with all of the following information and submit. Camp details will be communicated through the email provided on this form. Please bring $15 payment cash or check (checks payable to Herington Middle School) to the first day of camp. A medical treatment form will be requested and need to be completed the first day of camp before practice in case of emergency. Email Mason Hinkle with further questions - mhinkle@usd487.org
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Email *
Student Name:
Student Grade in Fall of 2025:
Student Shirt Size:
Parent/Guardian(s) Name:
Parent/Guardian Phone Number:
Parent/Guardian Address:
Emergency Contact Name and Phone Number:
Permission to release photos of child through social media:
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