Southside Panthers Future Stars Girls and Boys Youth Basketball Camp Online Registration
Southside Panthers Future Stars Boys and Girls Basketball Camp

DATE: July 22, 23, and 25
LOCATION: SOUTHSIDE BAPTIST CHURCH
K-4th Grade 9am-12pm
5th-8th Grade 1pm-4pm
Cost $65 ($55 for siblings)
Each Camper Will Receive a Basketball

For More Info Contact Coach Chad Holderfield 256.458.8246
chad_holderfield@ecboe.org
You can also print and mail registration and payment to:
Paper Registration Form: https://s3-us-west-2.amazonaws.com/sportshub2-uploads-prod/files/sites/1571/2019/06/10231158/Southside-Youth-Basketball-Camp.pdf
Southside High School
Attn: Coach Holderfield
2361 School Drive
Southside, Al 35907
Please Make Checks Payable to: Southside Athletic Foundation
You can also bring payment the first day of the camp.

Paper Registration will also be possible the morning of the Camp

Campers First Name
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Campers Last Name
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Parents/Guardian Name
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Phone Number
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Second Phone Number
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Emergency Contact Name and Number
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Medical Conditions
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Campers Age
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Grade Completed
T-Shirt Size
My child has permission to participate in the Southside High School Basketball Camp. I understand that the risk of injury does exist in athletic activity. I will assume any cost incurred due to injuries sustained by my child during their participation in the camp. We have insurance that will cover our child during his participation in the Basketball Camp. Please Insert your name and date to serve as your electronic signature
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