Basketball Camp Registration

*Required fields

Name*
Birthdate
Age
Height
Grade
High School/Middle School/Grade School
Home Phone*
Home Address
City
State
Zip
Email address
Roommate Preference
Shirt Size (adult)
Have you attended Above the Hoop Camps before?	Yes No
Boys-Grades 4-12 Team Camp - June 7 Shooting/Big Man Day Camp - June 11-12 Day Camp - June 30 - July 3 Overnite Camp - July 13-17
Health Insurance Company and Policy No.
Signature (Parent/Guardian must sign)
Date
Name the insurance policy is in (mother/father)

Team Camp: $230/ team
Day Camp: $125
Shooting/Big Man Day Camp: $60
Overnite Camp: $295, Commuter $245

(A non-refundable check for $50 should accompany this application)

Make check payable to Above the Hoop Basketball Camp and send to:
Above The Hoop, LLC. Basketball Camp
139 Thorndale Road
Beaver Falls, PA 15010