Register for Girls Basketball Camp 2017
For girls entering 5th – 12th grades
at Immanuel Lutheran College, Eau Claire

Camp this summer will be Friday, June 16 at 10am - Saturday, June 17 at 4pm. Youth Camp begins the following day, Sunday, June 18.

Email address
Last Name
Your answer
First Name
Your answer
Grade entering
Camper Cell Number (optional, but helpful)
Your answer
Parent Email
Your answer
Parent Phone
Your answer
Emergency Phone
Your answer
Housing
T-Shirt Size
Parent / Guardian Name
I understand that in a camp of this kind, injury might occur. By entering my name below and checking the box next to it, I am absolving Immanuel Lutheran College and any participants of the camp of any responsibility for injury to the above named child. I am also assuring the camp personnel that my child is physically fit for participation in this camp. I also grant the camp personnel permission to have my child treated by medical personnel in an emergency situation.
Your answer
Parent / Guardian:
Required
Registration Fee
Please send the registration fee of $30 to the address below:

Ross Roehl
509 Ingram Drive
Eau Claire, Wisconsin 54701

Thanks and we look forward to seeing you here!

A copy of your responses will be emailed to the address you provided.
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