Special Needs Basketball Clinic Hosted by Girls and Boys Basketball

“When everyone’s included, everyone wins.”

Special Needs Basketball Clinic

Questions can be directed to Coach Jenna Palmer at jenna.palmer7@gmail.com or Coach Eileen Copenhaver at ecopenhaver@providencecatholic.org. There is a $30 fee due on the day of camp, and includes a t-shirt for the camper.

Register below!

Special Needs Basketball Clinic – January 2026

This field is for validation purposes and should be left unchanged.

Student Information

Name(Required)
Address(Required)
Grade(Required)
Gender(Required)
Session I am registering for:(Required)
T-shirt Size(Required)

Parent/Guardian Completing This Form

Name(Required)
Are you a PCHS Graduate?(Required)

Medical/Emergency Information

Please list any medical issues (eg. allergies, diabetic, etc.) or other issues that we should know about:

Emergency Contact Information

Please list an additional person o contact in case of an emergency
Name(Required)
Wordpress Social Share Plugin powered by Ultimatelysocial