Bulldog Basics Basketball Camp Registration Page.
Click on the Visa and Master Card Icon Below to registure and pay by Credit Card. Clink on the link to display a clean copy of the registration page. link to pdf version
Hopewell Basketball Association
Bulldog Basics Basketball Camp
Registration Form
Please Print Below
Name _________________________________________________________________ Address________________________________________________________________ _______________________________________________________________________ Phone # ___________________________ Cell #_______________________________ Email Address__________________________________________________________ Age ____________ Grade in September 2009 __________ Gender ________________ School __________________________________________
Please circle one for shirt size Child Small, Child Medium, Child Large, Adult Small, Adult Medium, Adult Large, Adult XL, Parent/Guardian Name _________________________________________________ Emergency Phone # _______________________________
Please check box
□ Co-ed Incoming Grades K-1 June 29-July 3 9:00-11:30 at CHS Before 5-15-09$110 After 5-15-09 $120
□ Girls Incoming Grades 4-6 July 13-17 9:00-3:00 at CHS Before 5-15-08 $200 After 5-15-09 $210
□ Co-ed Incoming Grades 2-3 June 29-July 3 12:30-3:00 at CHS Before 5-15-09 $110 After 5-15-09 $120
□ Girls Incoming Grades 7-10 July 13-17 9:00-3:00 at CHS Before 5-15-09 $200 After 5-15-09 $210
□ Boys Incoming Grades 4-6 July 6-10 9:00-3:00 at CHS Before 5-15-09 $200 After 5-15-09 $210
□ Boys Incoming Grades 7-10 July 20-24 9:00-3:00 at CHS Before 5-15-09 $200 After 5-15-09 $210
I, the adult applicant, hereby give approval for the applicant’s participation in and any Hopewell Basketball program activities, registered, and hereby wave release, absolve, indemnify, ands agree to hold harmless the organizer, sponsor, supervisor, participants and persons involved in the organization of the Hopewell Basketball programs for his/her claim arising out of injury to the named applicant or any member of his/her family who may be participating as a spectator. By enrolling, I grant full and irrevocable consent to release photographs taken during the program to Hopewell Basketball Association. I give permission to the Hopewell Basketball Association to use photographs of myself and /or my child for historical archives, educational, and promotional purposes. These materials may be used for immediate of future use. I understand that there is no remuneration and that the pictures will not be used for commercial purpose. Parent/Guardian/Adult Signature:___________________________________________Date_______________ To register, submit completed registration form with payment to: Hopewell Basketball Association PO BOX 613 Pennington NJ 08534