Shoot for Success Boys Basketball

Under the direction of St. Paul boys head basketball coach, Steve Phelps, our program helps children gain an improved positive attitude, a greater appreciation for good moral values, and a better understanding of the keys that will lead to their own success. The players will experience various stations, specializing in fundamental skills and the team concept of basketball. Groups are small to assure that each player will receive personalized instruction from our outstanding coaches.

Summer Programs *

• (1) Player entering grades 4-9 - Shoot for Success Boys Basketball Clinic - July 22- July 25 - 8:45am - 11:45am - $100.00
• Discount - (2) players entering grades 4-9 - Shoot for Success Boys Basketball Clinic - July 22- July 25 - 8:45am - 11:45am - $175.00

Child Name *

First

Last

Child #2 Name

First

Last

Choose a T-shirt Size - Adult Size *SmallMediumLargeXLarge

Choose a T-shirt Size - Adult Size #2SmallMediumLargeXLarge

Grade Entering in Fall *

School child will be attending in the Fall *

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Phone *

Address *

Address Line 1

Address Line 2

City

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Zip Code

Emergency Contact (other than parent/guardian) *

First

Last

Relationship to Child

Emergency Contact Phone *

Would you like to include credit cards fees to your total?

• Yes
• No

Credit Card Fee

Price: $3.00

Total Amount

$0.00

Has your child attended a St. Paul Summer Program in the past? *

• Yes
• No
• Not sure

Comment or Special Instructions

Credit Card *

Card

Name on Card

Signature *

Clear Signature

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