Winter Camp Registration Form - Elite Basketball Camp Japan

Parent's First name *

Parent's last name *

Child's first name *

Child's last name *

Email Address *

Email Address *Please type your email address again to confirm.

Phone *

street

Apt., suite, etc.

city/ward *

Prefectures/state/province *

ZIP / Postal Code

Member

How old your child will be at the time of the camp? *

Grades *

Please tell us about your child's basketball experience. *

Uniform Size *If you are unsure, we recommend to select one size up.

Where are you dropping off your child? *

Please describe the personality or characteristics of your child. *

Dietary restrictions or allergies *

Any medications your child is traveling with?