Request edit access
IL Tech Women's Basketball Prospect Clinic
Sunday, September 22, 2024

Schedule of Events:
9:00am - Registration
9:15am - On Court Session
11:30am - Lunch
12:15pm - Campus Tour
1:00pm - Admissions Presentation, Player Panel Q&A
2pm - Dismiss

Address: Keating Sports Center, 3040 S Wabash Ave, Chicago, IL 60616
Contact: Carissa Sain at (914) 443-3908 or csain@iit.edu
Sign in to Google to save your progress. Learn more
Email *
Costs
The cost of camp is $100 which includes lunch and a tshirt for the prospective student athlete.  A link for payment via credit card will be sent upon receipt of this form.  Those interested in paying via check (made payable to "Illinois Tech Women's Basketball") or cash can bring that to registration on September 22.  Please do not put checks in the mail.
I understand that I will have to pay before or at registration on September 22.  I understand that without payment at that time, I will not be allowed to participate in the on-court portion of camp. *
Required
First Name *
Last Name *
Phone *
Graduation Year *
Major or Area of Academic Interest *
High School *
Height *
Position *
Required
Emergency Contact *
Emergency Contact Phone *
Insurance Carrier *
Insurance Policy Number *
Tshirt Size (Men's) *
Dietary Restrictions *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Illinois Institute of Technology.

Does this form look suspicious? Report