Camp Session(s)

First Name

Last Name

Street Address

City

State Alabama Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Camper's Name

Camper's Age as of Sept. 2024

Email

Home Phone

Cell Phone

By clicking below you are agreeing to the following terms:

Waiver:
I assume all risks and hazards incidental to such participation in the basketball camp and I hereby waive, release, absolve the organizers, sponsors, supervisors, and participants from any claim arising out of injury to my son/daughter, except to the extent and in the amount covered by accident or liability insurance.