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2017 Sue Cannon Basketball Camp Registration Form
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
Age
*
Your answer
Birth Date
*
Example: 09/10/2003
Your answer
Grade entering for 2017-18 school year
*
Next school year! NOT THIS YEAR
Choose
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
School (Fall 2017)
*
Enter the school that your daughter will attend NEXT year
Your answer
Parent Email Address
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Parent/Guardian Last Name
*
Your answer
Parent/Guardian First Name
*
Your answer
Emergency Phone Number
*
Your answer
Home/Cell Phone Number
*
Your answer
Family Doctor
*
Your answer
Doctor Phone Number
*
Your answer
T-Shirt Size
*
Choose
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Consent To Participate
*
By typing in my name and understanding that it is an electronic signature, I give permission for my child (name entered above) to participate in the Sue Cannon Camp of Champs. I hereby agree to waive all claims and hold harmless Sue Cannon from all claims arising from their reliance on this consent form.
Your answer
By checking the yes box below, I am verifying that I understand the payment options.
*
Make checks payable to: SUE CANNON. Payment may be made on the first day of camp or mailed to: SUE CANNON at 500 N. Industrial Blvd. Euless, TX 76039
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