GRIT Elite Camp Registration

To register for GRIT Elite, please complete the registration form below. (Cost: $200)

Registration - GRIT Elite 2017

Player Information

First name *

Last name *

Gender *

Male

Female

Age *

Grade *

Player Phone (optional)

Player Email (optional)

Address *

City *

State * Select oneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code *

T-Shirt Size * Select OneSmallMediumLargeExtra Large

T-Shirt included in Clinic price.

Parent Information

Parent name *

Parent phone *

Parent Email *

Address *

Address

Address

Address

City

City

State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

State/Province

Zip/Postal

Zip/Postal

Emergency contact *

Emergency phone *

Payment method (If you are paying by check, mail check in the amount of $200 to Grit Basketball, 117 Bellis Ct., Bridgewater, NJ 08807) *

Credit card

Check

Credit Card information

Address of Credit Card

Address of Credit Card

Address of Credit Card

Address of Credit Card

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

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Country

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