Online Registration
 

 

Attendee Information

Name:
Address:
City:
State:
Zipcode:
Phone Number:
Email Address:
Age:
T-Shirt Size:
 

Insurance Information

Insurance Company:
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Group Number:
Employer:
 

Choose A Session

July 16-19, 2012
 

Registration Fees

Full Payment $105.00
Deposit $50.00


*After clicking the Submit button below, you will be taken to a PayPal payment page.

 

  I hereby authorize my son/daughter for the above described Basketball School and authorize the staff to direct him/her in the participation in the Basketball School activity including the teaching of Christian Virtues by Dan Dunn. My son/daughter has no medical or emotional problems which may effect his/her ability to safely participate in the Basketball School, and the Basketball School Staff is authorized to attend to any health problems or injury my son/daughter may incur while attending Basketball School. I understand that my son/daughter must have current medical insurance before he/she can attend the Basketball School. Neither I nor my son/daughter will hold Dan Dunn's Basketball School, Dan Dunn, or any Staff Member liable for any injuries or expenses relating to injuries or any other damages while my son/daughter is attending Dan Dunn's Basketball School.


 

 
 



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