Paulding County Jr. Girls Basketball Camp  
Date: June 19-21
Time: 9am-12
Location: Craton Gym (Main gym)
Address: 1297 Villa Rica hwy
                 Dallas, GA 30157

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#WEAREFAMILY
Childs Name (first, last)
Parent name (first,last)  & contact number
Parent Email
School Attending
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Upcoming grade
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Shirt size
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Form of payment ($90)
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Allergies (N/A if none)
Any Physical Problems (N/A if none)
Authorization and Consent for Medical Treatment:  In case of illness or in an emergency, I hereby give permission to secure any necessary medical treatment for my child during camp session.  I authorize any qualified physician to render treatment he or she deems necessary upon consultation of the school administration. Parents/Guardians please sign below.
Any questions contact:                                                    Coach Leak- tleak@paulding.k12.ga.us 
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