2012 Summer Camp Registration

Register for Camp!

Please complete the following information to register your child for a Vipers Basketball Camp. You will receive a confirmation email within three business days.

* Required Fields

Childís First Name*:
Childís Last Name*:
T-Shirt Size*:
Parentís First Name*:
Parentís Last Name*:
Email Address*:
Street Address*:
Phone Number*
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Mobile Phone Number*
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Work Phone Number*
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Please list the camp that you would like to attend: