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Billmeier Nardi Camp 2010 Reg Page.

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Hopewell Basketball Association
"The Billmeier and Nardi Skills Camp
Registration Form

Please Print Below
Name_______________________________________________________________

Address_____________________________________________________________

____________________________________________________________________

Phone # _____________________ Emergency phone or Cell #_________________

Email Address_____________________________________________________________

Age ____________ Grade __________Shirt Size _________Gender ___________

School __________________________________________ Height _____________

Parent/Guardian Name _________________________________________________

Please check box
□ "The Billmeier and Nardi Skills Camp

Late fee of $10 will be applied after June 30th, 2010 Refunds after June 30th will be minus $35 for administrative fees. No refunds will be given back after June 15th,2010 doctors note us required.
I, the adult applicant, _________________________ Date _________________hereby give approval for the applicant’s participation in and any Hopewell Basketball program;
I will not hold the organization and sponsors, their employees and associated personal, including owner of fields and facilities utilized for the programs against any claim by or on behalf of the registrant as a result of the registrant ‘s participating in the program and/or being transported to or from the same, which transportation. 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.

To register, submit completed registration form with payment and sent it to Hopewell Basketball PO Box 613 Pennington NJ 08534
Mail to : Hopewell Basketball Association PO BOX 613 Pennington NJ 08534 Online Credit Card registration is available at www.hopewellbasketball.com