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B&D Basketball Registration Form
B&D Basketball Camp Registration Form
Please Register Your Child/Children Below
The camp is open to boys and girls grades 2-6. The B&D Basketball Camp is free to the first 50 campers! Children must be registered by their own Parent or Legal Guardian.
Parent's Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Enter Email
Confirm Email
Phone
*
B&D Camp Participants
Please list the name(s) of your campers below
Child"s Name
*
First
Last
Gender
*
Boy
Girl
Child's Age
*
Child's T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Child's Grade (2024-2025 School Year)
*
Please select which grade your child will be in next school year:
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Register an additional child?
Yes
Child #2 Name
*
First
Last
Child #2's Gender
*
Boy
Girl
Child #2's Age
*
Child #2's Grade (2024-2025 School Year)
*
Please select which grade your child will be in next school year:
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child #2's T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Register an additional child?
Yes
Child #3's Name
*
First
Last
Child #3's Gender
*
Boy
Girl
Child #3's Age
*
Child #3's T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Child #3's Grade (2024-2025 School Year)
*
Please select which grade your child will be in next school year:
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Register an additional child?
Yes
Child #4's Name
*
First
Last
Child #4's Gender
*
Boy
Girl
Child #4's Age
*
Child #4's T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Child #4's Grade (2024-2025 School Year)
*
Please select which grade your child will be in next school year:
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Register an additional child?
Yes
Child #5's Name
*
First
Last
Child # 5's Gender
*
Boy
Girl
Child #5's Age
*
Child #5's T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Child #5's Grade (2024-2025 School Year)
*
Please select which grade your child will be in next school year:
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Liability Waiver
*
I agree to the terms of our liability waiver
By selecting this checkbox, you are signing and agreeing to our liability waiver form
To view our liability waiver,
click here
.
