Swoosh Canada - Registration

Swoosh Canada Camp Registration

Camp Registration

Program Choice:	Please enter the Camp Name and dates, you are registering for.
Program Fee:	We will send you an invoice for the amount of the Camp(s) you register for, payable by credit card. OR Make cheque out to "Swoosh Canada Basketball" Please mail to 17019 – 100th Street, Edmonton, AB T5X 4R8
Student's First Name:	Required please.
Students Last Name:	Required please.
Age
Gender:	Boys Girls
Fall Grade:
School:
Alberta Health Care Number:	Required please.Please re-enter.
Shirt Size:
	First Parent	Second Parent
Name:	Required please.
Home Phone:	Required please.Please re-enter.	Please re-enter.
Cell Phone:	Required please.Please re-enter.	Please re-enter.
Email address:	Required please.Please re-enter.	Please re-enter.
Address:	Required please.
Emergency Contact Name:	Required please.
Emergency Contact Phone:	Required please.Please re-enter.