Clinic Basketball Registration Form

Clinic will begin Sunday, January 15, 2012, and run for 8 sessions over 10 weeks. 1st grade, 1:30pm - 2:30pm; 2nd grade 2:30pm - 3:30pm.
Player's First Name       Last Name
Date of Birth  
Gender          Grade           Home Room
Shirt Size         
   
Mother's Name  
Phone #  
e-Mail  
   
Father's Name  
Phone #  
e-Mail  
   
Volunteer to help:  
   
Comments, special needs, or conditions.
   
 

Please send registration fee via kidmail to IHM Athletics
$35 for first child, $25 for each additional;

Teachers receive a 50% discount