Registration for 2018 Camps is Not Open Yet

bounce out the stigma special needs basketball

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Bounce Out the Stigma Camp PRE-Registration Form


Please Note: This is an a PRE-Registration Form.
You will be contacted by us either by phone or email to complete your registration process.


 

SELECT 2017 CAMP SESSION & LOCATION*:

CAMPER INFO:

Parent or Guardian's Name * :

Your Relationship to Camper *:

Campers Name ( first, last name only if different from yours } * :

Campers Nick Name:

Campers Age * on June 1, 2017 :

Campers Grade as of Sept. 2017* :

T-Shirt Size * :

Returning Camper*: YESNO

YOUR CONTACT INFO:

Your Email Address *:

Tel. # We Can Reach You* : (format 201-555-1212)

Home Address* :

City* :

Your State* : Zip * :

Please Feel Free to Share Any Additional Information About Your Child, that you feel would be helpful.

Add Me To Your Newsletter: YesNo

*Please Tell Us How You Heard About Us

* REQUIRED

If you do not receive a call or forms in the mail in 2 weeks, Please call us at 855.997.3900.

To Avoid Spam, Please Insert the Code You See
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