2017 Sue Cannon Basketball Camp Registration Form
Last Name
Your answer
First Name
Your answer
Age
Your answer
Birth Date
Example: 09/10/2003
Your answer
Grade entering for 2017-18 school year
Next school year! NOT THIS YEAR
School (Fall 2017)
Enter the school that your daughter will attend NEXT year
Your answer
Parent Email Address
Your answer
Street Address
Your answer
City
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Zip Code
Your answer
Parent/Guardian Last Name
Your answer
Parent/Guardian First Name
Your answer
Emergency Phone Number
Your answer
Home/Cell Phone Number
Your answer
Family Doctor
Your answer
Doctor Phone Number
Your answer
T-Shirt Size
Consent To Participate
By typing in my name and understanding that it is an electronic signature, I give permission for my child (name entered above) to participate in the Sue Cannon Camp of Champs. I hereby agree to waive all claims and hold harmless Sue Cannon from all claims arising from their reliance on this consent form.
Your answer
By checking the yes box below, I am verifying that I understand the payment options.
Make checks payable to: SUE CANNON. Payment may be made on the first day of camp or mailed to: SUE CANNON at 500 N. Industrial Blvd. Euless, TX 76039
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