Basketball Camp Sign-Up
Sign-up for FREE basketball camp at Mount Auburn Preparatory Academy: Grades 3-6 = July 12-16 & Grades 7-11 = July19-23
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
Parent/Guardian Street Address *
(Additional) Emergency Contact First Name
(Additional) Emergency Contact Last Name
(Additional) Emergency Contact Phone Number
Student 1 First Name *
Student 1 Last Name *
Student 1 Grade Level *
Student 2 First Name
Student 2 Last Name
Student 2 Grade Level
Student 3 First Name
Student 3 Last Name
Student 3 Grade Level
If applicable, information for additional students: First & Last Name and Grade Level
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