2008 Hoops Camp

Registration Form

Player's Name::_____________________________

Male   ____

Female    ____

Date of Birth: ___________________________________

Age:___________

Grade Entering:_______________________

Parent or Guardian:______________________________

Address:___________________________________________________

City:____________  State:_________ ZIP:_______

Home #:____________________________________

Cell #:______________________________________

Email:_____________________________________________________

High School to Attend:___________________________

Church you attend:______________________________

Emergency Contact:_____________________________

Relationship to Player:___________________________

Home #:__________________Cell#:________________

T-shirt Size:           Youth:          M____          L____

   adult:     S____         M____         L____       XL____

STAFF USE ONLY:

Check #:____________ Amount:_______________

Cash Amount:______________ Staff Initials:_________