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Elzy Era Girls Basketball Clinic - Pikeville
Date: Wednesday, July 14th - 2:00 to 5:00 pm
Event Address: Pikeville High School, 120 Championship Drive, Pikeville, KY 41501
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Email
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Your email
Participant Name
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Participant Age
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Your answer
Participant Gender - Reminder, clinic is only open to girls
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Female
Male
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Participant Grade Level for the 2021-22 School Year
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2nd
3rd
4th
5th
6th
7th
8th
Participant T-Shirt Size
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Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Name of Participant's Emergency Contact
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Emergency Contact Phone Number
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Emergency Contact's Relationship to Participant
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Parent/Legal Guardian
Other family member
Family friend
I understand that I will need to email copies of the participant's insurance card (front and back), current physical (within the last year), and signed waiver to
ukhoopscamps@uky.edu
by July 11th.
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