Stu Vetter Basketball Camp Registration

* Camper First Name

* Camper Last Name

* Gender of Camper

* Age of Camper

* Grade In Fall

* School Attending In The Fall

* Street Address

* City

* State

* Zip Code

* Parent / Guardian Name:

* Home Phone:

* Work Phone:

* Email Address

* Emergency Contact Name:

* Emergency Contact Phone:

* Emergency Contact Email

Camper Allergies?

Medications Camper Takes Regularly?

Any Special Needs For The Camper?

(LEAVE THIS CHECKED. REQUIRED FOR UPDATES)

* Indicates Response Required