Merrillville Basketball Academy Registrations
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Athlete Name
*
First
Last
Current Grade
*
Select Grade
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
Parents/Legal Guardians
*
Phone
*
Email
*
Select Camp:
*
1st-3rd Grade Skills Camp – $ 50.00
4th-6th Grade Skills Camp – $ 50.00
7th-8th Grade Skills Camp – $ 40.00
Processing Fee
*
Price:
$ 3.00
Processing Fee
*
Price:
$ 2.40
Signature
*
Clear Signature
We do hereby give permission to our child to participate in the Merrillville Basketball Skills Camp. We as the guardians will assume responsibility for our child’s fitness for the camp. We hereby waive release, discharge the camp staff, the athletic department, and the school corporation from any liability for injuries or illness incurred while at the camp or from travel to and from the camp.
Total Amount
$ 0.00
Stripe Credit Card
*
Card
Name on Card
Submit
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