BOYS 2008 VIKING BASKETBALL CAMP REGISTRATION FORM
Please TYPE in responses, PRINT form, and remember to SIGN form
.
LAST NAME
FIRST NAME
NICKNAME
ADDRESS
CITY
STATE
ZIP
DATE OF BIRTH
GRADE & SCHOOL FALL 2008
HOME PHONE
EMERGENCY PHONE
EMAIL
CAMP SESSIONS
***ADVANCED SKILLS FOR GRADES 7-9 ONLY***
BOYS:
Session I July 7th-11th 8:30AM-12:00PM
Advanced Skills Clinic July 7th-11th 1:00-3:00PM
T-SHIRT SIZE
YM
YL
AS
AM
AL
AXL
PAYMENT:
Tuition for camp is $140.00; tuition for Advanced Skills Clinic is $110.
Discounts may not be applied toward Advanced Skills Sessions.
Click on the box if you are applying
ONE
of the dicounts
(CHECK ONLY 1 BOX)
Early Enrollment Discount - Registration form mailed before May 1, 2008
Tuition $125
Sibling Discount - For families with two or more children attending Viking Basketball Camp (same session)
Tuition $125 per camper.
PARENT AGREEMENT
I certify that the named participant is in good health and physically able to participate in this camp. I understand the risk involved with such participation. My child is currently covered by medical insurance. I will in no way hold the Camp, the director, the staff, or the Viking Backers responsible for any injuries resulting to my child while participating in the Viking Basketball Camp.
Name of Participant
Signature of Parent/Legal Guardian
DATE
Parent/Guardian's Printed Name
Make check payable to
VIKING BASKETBALL CAMP
and
MAIL check and form to
:
BOYS FORMS: Viking Basketball Camp
c/o Mike Linsenmeyer
6730 Allview Drive
Columbia, MD 21046