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Antonio Daniels' 2007 San Antonio Summer Camp Registration Form

Please fill out the following fields to register for AD's Summer Basketball Camp. A representative will be contacting you shortly to verify your enrollment. Please make sure that you choose the correct location and dates you would like to attend.

Payment will be completed by PayPal.com after you submit your child's registration.

Any Questions? : info@antoniodaniels.com

Part 1 : Fill out Camper Information

First Name

Last Name

Address

City

State

Zip

Date of Birth

Phone

Work Phone

Parent's Email Address

Camper's Email Address (If Available)

Part 2 : Choose Camp Date

Date to attend:

Part 3 : Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone

Part 4 : Camper Gender & Height Information

Camper Gender :

Camper Height: ft. in.

Part 5 : Choose Your Skill Level

Please select your skill level :

How Did You Hear About The AD Camp? :