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Basketball Camp Registration

Please complete the two steps below to register. The required fields are marked with an asterisk.

Step One: Personal Information

First Name*

Last Name*

Age*

Parents Name*

Home Address*

City*

State/Prov*

Zip*

Country

Daytime Phone*

Email Address*

Step Two: Payment Method

Sessions are $100 each. Please total your fees before selecting payment method.

There are two ways to pay your registration fee. Please select one of the options below.Credit Card through the Internet
To pay with your credit card through the internet, please complete this form. On the following page a secure link will be provided for you to make payment.Check or Money Order by Mail
You can send your payment by mail with a check or money order to:
Aimee Litka
P.O. Box 308
Notre Dame, IN 46556-0308.

Comments

Please use this space to give comments or to ask questions. Please leave a note if you are paying for more than one person.

Security Question

Is fire hot or cold?*

Questions?

For answers to questions please contact:

Aimee Niespodziany
Women's Basketball Head Coach
Ph: (574) 239-8314
Office: Pfeil Center

Basketball Camp Registration

Step One: Personal Information

Step Two: Payment Method

Comments

Security Question

Questions?

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