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UIC Flames
Official Store

    2014 Howard Moore Basketball Camps

    Form must be filled out completely to be eligible for entry.

    Camper's Name

    Camper's Email

    Camper's Address

    City

    State

    ZIP

    Home Phone

    Parent/Guardian Name

    Parent/Guardian E-Mail

    Parent/Guardian Work Phone

    Parent/Guardian Cell Phone

    School

    Grade in Fall 2013

    Age as of June 2013

    Height

    Weight

    T-Shirt Size

    Camp Dates 2014:

    Form of payment:

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