Campers Name:     Street:  
City: State:     Zip: Phone:
cell:      Shirt Size: Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult Extra Large Adult XXL   Age:   Grade:    Fall 2009 grades
Birth Date:     E-Mail   School:

K thru 2nd  Junior Basketball School$75 each Session  pre registered & Paid Boys & Girls

K1 Jun 21-24 at BCH Riverfront 1:00 - 4:00
K2 July 19-22 at BCH Riverfront 1:00 - 4:00
K3 Aug 2-5 at BCH Riverfront 9:00 - 12:00
K4 Aug 16-19 at BCH Riverfront 9:00 - 12:00

3rd  thru 5th Basketball Academey $75 each Session pre registered & Paid Boys & Girls Fall 2010 grade

B1 Jun 28– Jul 1 at BCH Riverfront 1:00 - 4:15
B2 July 19-22 at BCH Riverfront 9:00 - 12:15
B3 Aug 2-5 at BCH Riverfront 9:00 - 12:15
B4 Aug 16-19 at BCH Riverfront 9:00 - 12:15

2nd thru 6th Sports & Fitness Full Day Camp Boys and Girls Cost $135 pre registered & Paid

SF1 Jun 21-24 at BCH Riverfront 9:00am - 4:00pm
SF2 July 19-22 at BCH Riverfront 9:00am - 4:00pm

1st thru 9th Grade  Amber Jacobs  Basketball Camp 1 Boys and Girls

  AJ2 June 14-17th 1:00 to 4:15 pm Cost $75 pre registered & Paid
 

Tom Dempsey Basketball Camps Boys and Girls
(canceled by new NCAA Rule please see his camp page for more info)

5th thru 8th Dave Martin Basketball Camp 1 Boys and Girls Cost $80 pre registered & Paid

DM1  July 19-22nd 8:45 am to 12:15pm

1st thru 4th Dave Martin Basketball Camp 2 Boys and Girls Cost $75 pre registered & Paid

DM2  July 19-22nd 1:00 to 4:00 pm

3rd thru 8th Pat Shields Basketball Camp Boys and Girls Cost $80 pre registered & Paid

PS1 JULY 26^TH - July 29^TH 12:45 - 4:15

5th thru 9th Mike Show Basketball Camp Boys and Girls Cost $80 pre registered & Paid

MS1 Aug 9th-12th 8:45-12:15pm at  BCH2 Ice Box

ADVANCED BASKETBALL Clinics
for Boys & Girls  Grades 6 thru 12th

June 21st to June 23rd with Coach Eric Grundman
A1 Advanced Shooting 2:00-3:30 $60
P1 Point Guard Clinic 3:30-5:00 $60
AB1 Both of the above clinics $100

June 28th to June 30th withCoach Trevor Woodruff
A2 Advanced Shooting 2:00-3:30 $60
B1 Big Man Clinic 3:30-5:00 $60
AB2 Both of the above clinics $100

July 19th to July 21st Coaches Trevor Woodruff & Eric Grundman
A3 Advanced Shooting 2:00-3:30 $60
O1 Point Guard Clinic 3:30-5:00 $60
AB3 Both of the above clinics $100

Total Amount for All Camps registering

Health Insurance Co.      Group #: Policy #:
My child is in excellent physical health and capable of participating in strenuous physical activity, and waive Backcourt Hoops of any and all responsibilities for injury or illness. I hereby authorize the director of Backcourt Hoops to act for me according to their best judgment in any emergency requiring medical attention. I understand that I am solely responsible for the payment of any such medical expenses and must provide Backcourt Hoops with proof of insurance. I also understand that my payments are non-refundable, non-transferable under any circumstances.
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