3:45 to 5:00 PMTuesday & Thursday

@ Amana Academy Indoor Gymnasium

Registration Fees

One -Time Fee ($50.00)

Student Name

Date of Birth

Gender

Male
Female

Grade Level

School Name

Student's BasketBall Level

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Full Name

Parent Phone Number

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Parent Email

Authorized Pick-Up Person (s)

Emergency Contact

A signed waiver by event participant or parent/guardian will be required before you can download your QR code. A link to obtain waivers for all registrants will be shown on the confirmation page.

Running Total

$50.00

Coupon Code

Total

$50.00

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