| Name: |
| Address: |
| Phone: |
| School: |
| Position: |
| Grade Entering: |
| player or parent email: |
Parents signature: below: (handwritten signature required
 do
not type) |
|
|
South Jefferson Advanced Girls
Basketball Camp
Registration Application
| Name: |
| Address: |
| Phone: |
| School: |
| Position: |
| Grade Entering: |
| player or parent email: |
| Parents signature: below: (handwritten signature required
do
not type) |
|
|
| Send Application and money to: Pat Bassett P.O. Box 561 Adams Center, New York 13606 |
Checks payable to: |