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USA "JR SELECT" BASKETBALL CAMP
Recommend a Camper

   
Camp Selected: 
Name: (First,Middle,Last)
Mailing Address:  Apt:
City, State Zip:
Home Phone:
Email Address:
Parent's Business Phone:
Camper's Height:
Camper's Weight:
Camper's Age:
Camper's Birthday: (i.e. 12/31/1997)
T-Shirt Size:
Position on Camper's Middle School Team:
Middle School Name:
Camper's Grade in the Fall:  
Middle School Mailing Address:  
City, State Zip:  
Middle School Coaches Name:  
Middle School Coaches Home Phone:  
High School Camper Will Attend:  
High School Mailing Address:  
City, State Zip:  
High School Coaches Name:  
High School Coaches Home Phone:  
High School Coaches Office Phone:  
AAU Team :  
AAU Coach :  
AAU Coaches Home Phone:  
Roommate Preference:  
Please list any physical limitations, allergies, etc. that need to be brought to the attention of the camp staff.