Registration

Shooting Mini-Camp ONLY: $45
Thursday, July 17, 2008
6:00 p.m. - 9:00 p.m
Tustin High School

All Around Skill Mini-Camp ONLY: $45
Thursday, July 24, 2008
6:00 p.m. - 9:00 p.m
Tustin High School

BOTH Mini-Camps: $80 (save $10)
Thursdays, July 17th and July 24, 2008
6:00 p.m. - 9:00 p.m
Tustin High School

Northpark Summer Basketball Clinic: $40
Tuesdays, July 8, 15, 22, and 29
5:30 - 6:30 p.m.


Participant's Name *
Age
Gender Male
Female
   
Shirt Size (Adult) N/A for mini camps Small
Medium
Large
X-Large
   
Parent/Guardian's Name *
Email *
Address *
City *
State *
Zip Code *
Phone *

How did you hear about camp?

Payment Option * Will pay by credit card online (follow link from registration page after waiver is complete)
Will send check or money order
(Registration will not be complete until payment is received)

Waiver
Insurance Company *
Policy Number *

Persons to Contact in Emergency
Name *
Relationship *
Phone *
Name
Relationship
Phone

List any allergies, impairments or conditions which would limit camper's participant in activities

I hereby authorize the staff of the Next Level Basketball Camps to act for me in their best judgement in any emergency requiring medical attention, and I hereby waive and release the camp, its instructors, TSUD and Northpark Maintenance Association from any and all liability for injuries or illnesses that occur while at, or in transit to and from camp. I understand that I am required to maintain and carry accidental insurance (health) coverage for the child listed on this application, and I verify that the coverage information included in this application is accurate and true. I also understand the camp retains the right to use photographs of campers and staff for publicity and advertising purposes. By submitting this electronic registration/waiver I accept the above terms and conditions.

I have read and agree with the above statement. *
   
Enter Name *
Date Signed