BACK 2 BASICS Summer Camp

BACK 2 BASICS Summer Camp

*Please Print this Form & mail to the following:*

PO Box 331174
Nashville, TN 37203

REGISTRATION FORM

NAME:________________________________________________
Last, First. MI

ADDRESS:____________________________________________

CITY:_________________________________________________

STATE:_______________________ ZIP: ___________________

PHONE:______________________________________________

EMAIL ADDRESS: ____________________________________

GRADE:________________________ AGE:__________________

Emergency Contact: _____________________________________

Number:______________________________________

SCHOOL: ____________________________________________

CHEER COACH:_______________________________________

Coach Email :__________________________________________

T-SHIRT SIZE (circle one): YS YM S M L XL 2XL

STATUS OF PAYMENT (circle one):

_______________$100 enclosed ____________$100.00 will pay on-site

Payment accepted in the form of school check, money order or cash only. Pay to the order of: Back 2 Basic Camps (NO PERSONAL CHECKS) To register, complete this panel, cut on the dotted line, and mail or bring with you on camp day.

Coaches: Make sure that T-Shirt orders are in at least one full week prior to the first day of camp; otherwise, we can not guarantee shirts for your squad.

ALL COACHES ATTEND FREE OF CHARGE!