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Site Promotion:
Optimal iQ

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Antonio Daniels' 2010 San Antonio Summer Camp Registration Form

Please fill out the following fields to register for AD's Summer Basketball Camp. You will receive a PayPal confirmation immediately, followed by a camp overview e-mail by July 12, 2010.

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 : Emergency Contact Information


  Emergency Contact Name

  Emergency Contact Phone


Part 3 : Camper Gender & Height Information


Camper Gender :

Camper Height:    ft.   in.




Part 4 : Choose Your Skill Level

Please select your skill level :

How Did You Hear About The AD Camp? :



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