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Join us for a 1-day clinic at Lenape High School, Medford, New Jersey for a very unique basketball clinic for children and young adults ages 8-21. This is a non-competitive nurturing environment for children to develop motor skills and self confidence.
See full information below.

Basketball Camp Registration Bounce Out the Stigma

Items marked with * are required info. If you do not fill in you will receive an error message when you send.

    All Information Provided is Confidential:

We value your privacy and information. We will NEVER share it with any other parties and will use it only for the reasons you provided.

CAMPER INFO:

Parent or Guardian's Name * :

Your Relationship to Camper *:

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

Campers Nick Name:

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Campers Age * on January 1, 2019 :

Campers Grade as of January, 2019 * :

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.

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ANY Questions, Please call us at 855.997.3900.
Please mail your $15.00 Camp fee to:
Bounce Out the Stigma
P.O. Box 616
Allendale, NJ 07401

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