After School Activities

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Winter After School Clubs & Activities

5^th & 6^th Grade Co-Ed Intramural Basketball Club
Tuesday November 29^th – Tuesday, February 14^th.
Tuesday and Thursday 3:20-5:00 pm.
Fee: $100.

Winter Break Basketball Camp
Monday, December 19^th– Friday, December 23^rd from 9am-12pm.
Fee: $200

February Break Basketball Camp
Monday February 20^th – Friday February 24^th from 9am-12pm.
Fee: $200

Winter Registration Form

1Student Information

2Billing and Payment Information

Clubs
Student's Name*

First

Last
Student's Grade (2022-2023)*
Phone*
Parent/Guardian Name

First

Last
Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Select Clubs:*
- 5th & 6th Grade Intramural Basketball Club (11/29-2/14)
- 5th-8th Grade Winter Break Basketball Club (12/19-12/23: 9 am - 12 pm)
- 9th-12th Grade Winter Break Basketball Club (12/19-12/23: 1 pm - 4 pm)
- 5th-8th Grade February Break Basketball Club (2/20-2/24: 9 am - 12 pm)
- 9th-12th Grade February Break Basketball Club (2/20-2/24: 1 pm - 4 pm)
Total
$0.00

Name

First

Last
Email
Address

Street Address

Address Line 2

City

State

ZIP Code
Phone
Credit Card

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date

Security Code

Cardholder Name
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After School Activities

After School Activities

Winter Registration Form