Register your Camper! Camper Name * First Name Last Name Camper Age * Camper Gender * Camper Ethnicity * Camper School & Grade * Is your camper currently a BGC member? Arcadia Farmerville Ruston Jonesboro West Monroe Other Club Emergency Contact Name * First Name Last Name Emergency Contact Email * Emergency Contact Phone Number * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Camper T-Shirt Size * Youth XS Youth S Youth M Youth L Adult S Adult M Adult L Adult XL Adult 2X Adult 3X Guardian Signature * I do hereby give my child permission to participate in this camp. I also declare that he/she is in good health and has had a medical examination given by a doctor within the last year. I have medical coverage and allow officials of the Boys & Girls Club Camp to treat any minor injuries according to their best judgment. I will not hold anyone at the Boys & Girls Club Camp liable for any injuries that occur while participating in this camp. Thank you for registering your camper for the 2025 Holiday Basketball Camp!
