Girls Basketball Clinic Form
Parents, please fill out this form before the first day of clinics (January 29)

Clinic information:
Date: January 29-Feb 1
Time: 6:00-7:15 AM
Cost: $20.00
CAMP INCLUDES: skill and fundamental development, team play and competitions.
Money AND forms are due no later than Monday January 29. Please make checks payable to Sand Ridge Junior High School. Please pay in the office and bring the receipt to Coach Alverson.

Student Information
Student Name *
Your answer
Grade *
Parent Information
Parent Signature *
By electronically signing I hereby authorize the directors of the clinic to act for me in accordance with their best judgment in case of an emergency.
Your answer
Parent Phone Number *
Your answer
Date *
Your answer
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