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Backup Camp Registration Page
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Backup Camp Registration Page
Backup Camp Registration Page
nimda
2023-09-20T21:17:12-07:00
I hereby authorize my
(Required)
Son
Daugther
to participate in Armond Gorgorian basketball camp with Homenetmen Glendale Ararat's Basketball Division from Sept. 22-24, 2023.
Player Name
(Required)
First
Last
Address
(Required)
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
T-Shirt Size (adult sizes)
(Required)
Small
Medium
Large
Extra Large
2X-Extra Large
Camp Fee
(Required)
Price:
Email
(Required)
Home Phone
Parent's / Guardian Cell Phone
(Required)
Parent's / Guardian Cell Phone
Ararat Team / Division
(Required)
Coach's Name
(Required)
Player's Date of Birth
(Required)
MM slash DD slash YYYY
Age
(Required)
Sex
(Required)
Height
(Required)
Weight
(Required)
In an emergency, if unable to reach a parent, contact:
Name
(Required)
Relationship
(Required)
Phone
(Required)
Name
Relationship
Phone
Medical Information
Doctor's Name
(Required)
Doctor's Phone #
(Required)
Medical Insurance Carrier
(Required)
Group #
(Required)
ID
(Required)
Upload a Copy of the Insurance Card
(Required)
Max. file size: 128 MB.
Allergic to Medication?
(Required)
Yes
No
Allergic to Anything Else?
(Required)
Yes
No
If yes please name the medications:
If yes please describe:
Taking any medication?
(Required)
Yes
No
Any chronic illness?
(Required)
Yes
No
If yes please name them all:
If yes, please name the illness:
Check the items that apply to your child
Asthma
Diabetes
Heart problem
Sleep walking
Seizure
Covid-19 Vaccinated
Consent
(Required)
I Consent
In the event of a minor illness, I authorize you to give my child common remedies.
Parent's Name
(Required)
Billing
Billing Address
(Required)
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Credit Card
(Required)
Cardholder Name
Card Details
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