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SVC Men's Basketball

Summer Camp Registration Form (copy)

Name
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Phone
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Email
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Address
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City
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State
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Zip
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Date of Birth
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Grade in Fall 2008
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Height
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Weight
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School
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T-shirt Size child small
child medium
child large
child x-large
adult small
adult medium
adult large
adult x-large
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Roommate Request
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Attending as Commuter
Resident
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Paying with a credit card? Yes     No    

If you would like to pay with a credit card, please call 724-805-2262 for more information.
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Waiver I hereby certify that the applicant is in good physical condition to take part in the basketball camp. If medical attention is required for illness or injury while attending the camp, I give my permission for such care and certify that the applicant is covered by our family medical insurance. The Saint Vincent College Intercollegiate Athletics is not responsible for payment of medical fees caused by injury incurred while participating in the 2008 D It Up Basketball Camp.
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Agree to waiver? Yes     No    
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