Clinic Basketball Registration Form
Clinic will begin Sunday, January 10, 2010, and run for 8 sessions over 10 weeks. 1st grade, 2:30pm - 3:30pm; 2nd grade 3:30pm - 4:30pm.
Player's First Name
Last Name
Date of Birth
Gender
Select one
Female
Male
Grade
Select one
2nd grader
1st grader
Home Room
Shirt Size
Select one
Youth Small
Youth Medium
Youth Large
Mother's Name
Phone #
e-Mail
Father's Name
Phone #
e-Mail
Volunteer to help:
select one
Coach
Assistant Coach
Comments, special needs, or conditions.
Please send registration fee via kidmail to IHM Athletics