Basketball Camp & VBS (Basketball Camp ages: 5-12 years old) 2024 Basketball VBS Registration Child's Name First Last Child's Date of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Is your child signing up for basketball camp, VBS, or both? Parents' NamesCell Phone NumberEmail Address Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code T-Shirt Size for the ChildYXSYSYMYLYXLASAMALAXLAXXLThis field is hidden when viewing the formParent shirts are $10 each. If you're ordering a parent shirt, what size do you need?N/A (not ordering a parent shirt)ASAMALAXLAXXLThis field is hidden when viewing the formIf ordering more than one, how many of each size do you need?This field is hidden when viewing the formHow tall is your child in inches?Any additional information, instructions, etc. we need to have about your child?Where do you actively attend church?Want to know more about HHBC?YesNoBasketball camp costs $30 which is due on the first day of camp. We'll see you then!NameThis field is for validation purposes and should be left unchanged. Δ