Welcome YBA Players!!!

2012 Summer Camp Registration

HARDWOOD PALACE CAMP

When: June 18-21, 2012
Time: 9:30AM – 2:30PM
Ages: Grades 1st-8th Boys and Girls
Cost:
$110 (all days)
$40 (one day)

Players not guaranteed a camp t-shirt if registering after June 4, 2012
Where:
Hardwood palace
1091 Tinker Road
Rocklin 95765

YUBA COMMUNITY COLLEGE CAMP

When: June 25-27, 2012
Time: 9:00AM – 12:00PM
Ages: Grades 4th-8th Boys and Girls
Cost:
$85 (all days)
$35 (one day)

Players not guaranteed a camp t-shirt if registering after June 11, 2012
Where:
Yuba Community College
2088 N. Beale Rd.
Marysville 95901

To Register for our SUMMER BREAK CAMP, please fill out the simple form below.

Please fill out the form below, and then you will be instructed to complete payment via PayPal.

2012 Summer Break Camp YBA Player Registration

Please note that all fields followed by an asterisk must be filled in.

Player First Name*
Player First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address*
Street Address*

City*
City*

Home Phone*
Home Phone*

Parent/Guardian Name*
Parent/Guardian Name*

Current Grade*
Current Grade*

T-Shirt Size (Please order one size up)

Registration Options:

	Camp (All days)
	Camp (Single days)

I am signing up for the camp at:*
I am signing up for the camp at:*

	HARDWOOD PALACE
	YUBA COMMUNITY COLLEGE

Days in attendance (if choosing single days)

	Monday
	Tuesday
	Wednesday
	Thursday

I will be paying by check:

Yes

I have read an understood the terms of agreement and release of liability below.*
I have read an understood the terms of agreement and release of liability below.*

Yes

Please Click the "Submit" button above first after filling out the form. You will then be directed to complete the PayPal payment. Thank you!

PLEASE READ THE FOLLOWING PARAGRAPH:

By signing up for any programs through our site and submitting payment via PayPal, the parent/guardian/participant agrees to the following Release of Liability Agreement.

Click Here To Read The Agreement
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