2016 Boy's Basketball Camp

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July 18-21, 2016

Ages 7-14

9:00 a.m. - 3:15 p.m.

Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

School *

Age *

Position *

T-Shirt Size *

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Click here for Waiver form. Please print off and fill out waiver form and retun along with check for $200 made out to Moravian Men's Basketball to

Justin Potts
Head Men's Basketball Coach
1200 Main Street
Johnston Hall
Bethlehem, PA 18018

Note - you will be asked to confirm this form before it is submitted.

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