Register for Girls Basketball Camp 2018
For girls entering 5th – 12th grades
at Immanuel Lutheran College, Eau Claire

Camp this summer will be Thursday, June 14 at 10am - Saturday, June 16 at 4pm. Youth Camp begins the following day, Sunday, June 17.

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
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: *
Registration Fee
Please send the registration fee, of $30 covering a shirt and meals, 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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