Wait List - Vertical Basketball 2020

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Thank you for your interest in our new Youth Basketball House League VERTICAL BASKETBALL!

This form is a waitlist. The program has now started and we are no longer taking any new participants. We will continue to use the waitlist as a means to see the interest in the program and to use as a contact list for any potential clinics in the future.

Questions? Contact us at verticalbasketball@emmanuelbarrie.org or visit https://emmanuelbarrie.org/verticalbasketball/

Child Information

Child Name

*

Gender

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Please select one option.

Male Female

Current Grade

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Please select one option.

3 4 5 6 7 8

Our family:

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Please select one option.

Does not attend church regularly Attends Emmanuel Barrie Attends Emmanuel Orillia Attends another church

Name of other church (if applicable):

Are you hoping to register with a friend?

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Please select all that apply.

Yes No

Name (s) of friends:

Parent/Guardian Contact Information

Parent/Guardian Name

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Email

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This address will receive a confirmation email

Preferred Phone

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This is a:

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Please select one option.

cell phone home phone

*Contact information will be used by Emmanuel for communication regarding this and other events and ministries of Emmanuel. Please see our Privacy Policy for more information.

Description

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