2017 Charger Christmas Clinic Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Now accepting online registrations for Powers Catholic's Christmas basketball clinic sponsored by the basketball programs. By registering online, you must come in to sign the permission form and pay the day of the clinic. One form is required per camper. Registrations will be accepted until camp begins.
---------
Hosted by Varsity Boys Head Coach Greg Burks. Team members will serve as counselors.
Who: Boys & Girls in Grades 6-8
Where: Powers Catholic High School Gym - 1505 W. Court Street, Flint
Camp Date: Wednesday December 27
Times: 9:00am - 12:00pm (Registration is from 8:30-9:00am)
Cost: $20 per student (includes a t-shirt)

Camper's Name: *

Camper's Date of Birth: *

YYYY

Camper's Shirt Size: *

Camper's Grade: *

Parent Email: *

Camper's Current School: *

Parent Name: *

Parent Cell Phone #: *

Address (Street, City, Zip):

By registering for this clinic online, I understand that a I must turn in a signed permission form on the day of camp.

I understand that the fee is $20 that can be paid with cash or check made out to Powers Catholic High School.

I understand that the t-shirt order was made prior to 12/21. Plenty of extra shirts were ordered and will be available to walk-up and online registrations accepted after 12/21. Shirts will be distributed on a first come first serve basis during registration. If a student does not receive one, we will order extras and they will be available in the Athletic Office after break.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Powers Catholic High School. Report Abuse

Forms