M.E.S.T.

Maddux Elite Skills Training Teaching the game

M.E.S.T Basketball

REGISTRATION FORM

Check Camp you will be attending;

August 25th - 26th

Please print and mail with payment to: Cathy Boyd, 6221 Waxwood court, Brentwood, Tn., 37027 ( Make all checks payable to M.E.S.T).

Child's Name:

Parent/Guardian:

Address:
City: State: Zip:
Phone:

Emergency Contact Ph. #:
Email Address:

Please check one:
Male
Female

Grade in School:
Number of years playing basketball:
Birthdate:

If you have any questions call Cathy Boyd:
615-604-3596