Registration for 2015 Sage Boys' Basketball Spring Break Camp

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Dates: April 6-10, 2015
Cost: $215
Boys' Ages 7-15

Parent/Guardian Name: *

Parent's Email Address:

Email address *

Athlete Name: *

Address: *

Phone: *

Age: *

Grade: *

Adult T-Shirt Size: *

Emergency Contact # 1 Information *

Name: Relationship: Phone:

Emergency Contact # 2 Information *

Name: Relationship: Phone:

* required field

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