Camp Registration Form
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Name *
Today's date *
Which camp are you interested in?
How did you hear about the camp? *
Height *
Date of Birth *
Email *
Cell Phone Number *
Street  Address *
City *
State and Zip Code *
Parents' Names *
Parent Contact Phone Number *
Jersey Size *
Position/s you play *
Have you had COVID *
If you had COVID, when was that? *
Have you been vaccinated *
What was the date of your most recent shot *
Name of School or Club *
Year of Graduation *
What are your basketball goals, dreams, aspirations for the coming year? What are your LONG-TERM basketball goals? *
What are three of your top qualities or character strengths you can draw on to reach these goals? *
What are your goals for the camp? *
Describe IN DETAIL a situation where you felt that the demands of the game exceeded your abilities. *
What are the two top things you feel you need to improve to be a better player? *
Please add anything you are looking for from the camp that in your opinion will heighten the learning experience for you and lead to using what you learn once you return home. *
Registration is complete upon payment.  Please contact us at for payment information by check or PayPal. Thank you. *
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