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 2008 grades
Birth Date:     E-Mail   School:

K thru 4th Grade General Camp $75 each Session   Boys & Girls  Fall 2008 grades

  K1 JUNE 16^TH TO 19^TH 12:30 TO 4:00
  K2 JUNE 30^TH TO JULY 3^RD 12:30 TO 4:00
  K3 JULY 14^TH TO JULY 17^TH 12:30 TO 4:00
  K4 JULY 28^TH TO JULY 31^ST 12:30 TO 4:00
  K5 AUGUST 11^TH TO 14^TH 12:30 TO 4:00

5th  thru 8th Grade General Camp $75 each Session Boys & Girls Fall 2008 grades
  B1 JUNE 23^RD TO 26^TH 12:30 TO 4:00
  B2 JULY 7^TH TO 10^TH 12:30 TO 4:00
  B4 AUGUST 4^TH TO 7^TH 12:30 TO 4:00

Camp 3rd thru 8th

B3 Mike Show Basketball Camp 3rd-8th Boys and Girls $75 7/21-24thJULY 21^ST TO 24^TH 12:30 TO 4:00
 

SHOOTING CAMPS 2008   Boys & Girls Grades 5th thru 10th (fall 2008) 
Please check all that apply  $75 For each Session

ADVANCED BASKETBALL CAMPS WITH JOHN E. BUCCI
for Boys & Girls  Grades 8 thru 12th

Advanced Shooting 2:00-3:30 $100
  A1 June 16^TH - June 18^TH
   A2 June 23^RD - June 25^TH
  A3 July 7^TH - July 9^TH
  A4 July 14^TH - July 16^TH
  A5 August 4^TH - August 6^TH
  A6 August 11^TH - August 13^TH

Big Man Camp 3:45-5:15 $100
  B1 June 16^TH - June 18^TH
  B2 August 4^TH - August 6^TH

Point Guard Camp 3:45-5:15 $100
  P1 June 23^RD - June 25^TH
  P2 July 14^TH - July 16^TH

Wing Man Camp 3:45-5:15 $100
  W1 July 7^TH - July 9^TH
  W2 August 11^TH - August 13^TH

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.
Signature of Parent/Guardian By typing your name  you are giving an electronic signature Date:

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