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Jim Harrick Basketball Camp Registration Form

June 5-7, 2017

Camper’s Name (Please Print)
_________________ _________________________________
Age Date of Birth
_________________ _________________________________
Parent/Guardian Name
_________________ _________________________________
Address
______________ ___ ___________________ ___________
City State Zip
(__ _ ) _____ - ___ (__ _ ) _____-________
Cell Phone Home Phone

Email

School Attending in the Fall Grade Entering Next Fall
__________________________________ __________________
Emergency Contact Phone #

Camp Registration fee is $50 per attendee and can be paid by cash, check
(made payable to “Merced Tradition”), or credit card at
http://paypal.me/MercedTradition

Registration form and payment can be sent to:

Merced High School
Attention: Coach Hector Nava/Men’s Basketball Head Coach
205 W Olive Ave,
Merced, CA 95348

All Campers will receive a camp T-shirt
Shirt size:
XS S M L XL XXL

EMAIL QUESTIONS
Merced HS Head Coach, Coach Nava hnava@muhsd.org
Golden Valley HS Head Coach, Coach Hunter khunter@muhsd.org
Rowan Orthodontics, Info@MercedBraces.com