GIRLS BASKETBALL - HS (9-12) Academy

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Last Name *
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Birth Date *
Select t-shirt size *
Address *
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Medical Information *

List Medications/Medical Conditions here. If none, type N/A

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Guardian First Name *
Guardian Last Name *
Guardian Cell Phone *
Guardian Email *
Alternate Guardian First Name
Alternate Guardian Last Name
Alternate Guardian Phone
Alternate Guardian Email
Medical Release Information
By registering for this Camp, I agree to the following Waiver & Release of Liability: https://bixbyps.info/cewaiver
Guardian Signature *

I, the parent/legal guardian, agree entirely to the Medical Release Information.: clear
Discount: TEACHER [-$10.00]

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$85.00

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