Kimberly Basketball Shooting Clinic: Oct. 19, 2019
This registration form secures your child's spot in our fall shooting clinic on Saturday October 19, 2019. Please note you will need to send $30 payment to school as this registration does not collect payment at this time. Make checks payable to: KIMBERLY BOYS BASKETBALL
-and- Send check, with note of your child's name to:
Coach John Cleaver
Kimberly High School
1662 Kennedy Ave.
Kimberly, WI 54136
Boy - Morning Session (Grades 3-8) 8:00 am - 11:00 am
Girl - Afternoon Session (Grades 3-12) 12:00 pm - 3:00 pm
Child's First Name
Child's Last Name
Current Grade Level
9th (Girls Only)
10th (Girls Only)
11th (Girls Only)
12th (Girls Only)
Phone Number (Emergency or Contact)
Must receive $30 payment by Friday, October 4th to be guaranteed a t-shirt the day of the clinic. Send $30 payment to: KIMBERLY BOYS BASKETBALL c/o John Cleaver | KIMBERLY HIGH SCHOOL | 1662 KENNEDY AVE., KIMBERLY, WI 54136
Adult X Large
A copy of your responses will be emailed to the address you provided.
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