Dawson Basketball Camp 2024

June 10-13, 2024

Campers First Name: *

Campers Last Name: *

Email address *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

Parents Name: *

Emergency Contact? *

Emergency Contact Phone Number? *

School? *

Age? *

T Shirt Size? *

YS YM YL AS AM AL AXL AXXL

Camp Session? *

Age: 4-7 (11:30AM-1:00PM) Age: 8-11 (8:30AM-11:00AM) Age: 12-17 (1:30PM-4:30PM)

Insurance Plan *

Policy Holder's Name? Policy/Group No.

Is Camper allergic to any medication? *

Any medication being sent with camper? *

Print Name: *

Please sign Parental Consent and Medical Waiver Form on registration facility site, or download camp registration form.

4-7 years old $75
8-11 years old $95
12-17 years old $95
on-site Registration add $15

Contact Information:

Joseph Peterson
jpeterson@dawson.edu

* required field