Southern HoopsSouthern Hoops |
Girls' Basketball Report & Scouting Service
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Regional Coverage of Middle/High School
and AAU Girls' Basketball Games
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2nd Annual Skills & Evaluation Camp - 2014
Please be sure to
fill out the shipping information and contact Email for our records.
If you are paying for more than one player, please make separate
payments for each player.
Pay by Secure PayPal® |
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REGISTER
(Please email the following information to:
)
Last Name:
First Name:
Address:
City:
State:
Zip Code:
School Attending:
Grade:
Age:
Date of Birth:
Shirt Size (Adult): Choose from S, M, L, XL, 2XL or 3XL
Does this child have any disabilities, handicaps, present
injuries or limitations, allergies, hemophilia, heart condition,
history of respiratory illness or any other significant medical
condition? Yes or No.
If yes, please describe condition(s):
Father and/or Mother or Legal Guardian:
Second Name (Optional):
Contact Phone Number(s):
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