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Shoot It Better Mini Camp Registration Form

Please Print Below

Name____________________________________________________________________

Address___________________________________________________________________

__________________________________________________________________________

Phone # _______________

Emergency phone or Cell#_________________

Email Address ______________________________________________________________

Age ____________ Grade __________

 
Gender Parent/Guardian Name _________________________________________________

□ Enclosed $140 for the Shoot it Better Mini Camp before 9-1-12.
□ Enclosed $155 for the Shoot it Better Camp after 9-1-12 Late Fee.

No refunds will be given after 10-15-12 without a doctor’s note.

I, the adult applicant, _________________________ Date _________________
hereby give approval for the applicant’s participation in and any Hopewell Basketball program; ( Shoot it Better Mini Camp)
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.


Mail to : Hopewell Basketball Association PO BOX 613 Pennington NJ 08534