USA "JR SELECT" BASKETBALL CAMP
Application/Enrollment
July 17-21, 2006 (1:30 - 4:30 PM)
 
   
Camp Selected: 
Name: (First,Middle,Last)
Mailing Address:  Apt:
City, State Zip:
Home Phone:
Email Address:
Parent's Work Phone:
Your Height:
Your Weight:
Your Age:
Your Birthday: (i.e. 12/31/1997)
T-Shirt Size:
Position on your Middle School Team:
Middle School Name:
Your Grade in Fall 2009:  
Middle School Coaches Name:  
Middle School Coaches Home Phone:  
In order to be officially enrolled in the USA "JR Select" Basketball Camp, your parent or guardian must complete the information below: Please list any physical limitations, allergies, etc. that need to be brought to the attention of the camp staff.