PeppNation SLC - 2019 August 17th Basketball Scrimmage
2019 __ Participant Registration Form.  Thank you for your interest.  

DATE/TIME: Friday, August 17th, 2019: 8:00am - 1:00pm

EVENT:  3v3 Basketball Tournament / Scrimmage

PLACE: Moody Park, Milwaukee, WI starting with breakfast, then the 3v3 Basketball Tournament

8:00 am – Coaches meeting, Registration, and Breakfast set-up
9:00 am - Students gather, practice, and receive the schedule
10:00 am - Tournament begins
1:00 pm - Tournament Ends

Students may be provided with breakfast, lunch, snack with a beverage.
                Contact: PeppNation @414-366-2130 before (Monday, August 16, 2019)

Cost: FREE - registration includes meals and beverage

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By filling out the following information you will be giving your child permission to attend PeppNation SLC Activity.

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Child's First Name *
Child's Age: *
Child's Date of Birth: *
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Emergency Phone Number *
Address
Parents/Guardian First Name *
Parents/Guardian Last Name *
Relationship to Participant *
Primary Contact Number *
Guardian Email *
Alternative Contact  Number
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