MBC Table Tennis Camp 2020 Registration

9:00 am-Noon; June 22-26, 2020 | Please fill out this form and click submit to register for MBC Table Tennis Camp 2020.

Camper's Name

*

Camper's Address

*

Phone

*

Email

*

This address will receive a confirmation email

Gender

*

Please select all that apply.

Male Female

Date of Birth

*

Allergies/Important Medical Conditions

School Grade as of 9/20

*

How did you find out about MBC Table Tennis Camp?

Parent/Guardian

*

Relationship to Camper

*

Home Phone

*

Daytime Phone

*

Cell Phone

*

Mailing Address

*

Email

*

This address will receive a confirmation email

T-Shirt Size

*

Please select one option.

Youth Small Youth Medium Youth Large Youth X-Large Adult Small Adult Medium Adult Large Adult X-Large

Video Promotion

*

Please select all that apply.

I also give permission to use photos/or video of my child in MBC Promotional materials.

Questions or Comments

Payment $75.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

9:00 am-Noon; June 22-26, 2020

Please fill out this form and click submit to register for MBC Table Tennis Camp 2020.

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