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 *
Your answer
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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