registration

Coach Jordan's
HOOP SCOUT EXPOSURE CAMP &
RECRUITING COLLEGE
REGISTRATION INFORMATION


Check One Boy's Camp Girl's Camp Camper's Name Parent or Guardian's Name Address Parent Contact Number Student Contact Number Parent Email Student Email Ht Wt Positions Played Year in School 09/10 Age Name of School City and State Varsity Team Member Y/N Varsity StarterY/N Shirt Size Recruiting Interest (Check One) I have not been contacted either by letter or phone call from any college coaches I have received some letters from college basketball programs I have received some calls from college coaches If yes, which colleges ? I am being actively called weekly by college coaches ,if yes, which colleges ? PLEASE REMEMBER TO HAVE PARENT OR GUARDIAN INITIAL THE LIABILITY WAIVER BELOW WAIVER: I understand that by initialing this waiver I hereby release and discharge the staff of this camp and/or facility that is used of any and all liability associated with any injury incurred during my childs participation in this camp. I am parent or guardian of camp applicant Y/N I have read the waiver and accept the terms Initials of Parent or Guardian (The initialing of this document serves as an electronic signature) Click the Submit Button to send your application. REMEMBER JUST THE APPLICATION ITSELF DOES NOT GUARANTEE YOU A SPOT IN THE CAMP. ONCE YOU PAY YOUR $40 DEPOSIT VIA PAY PAL YOUR RECEIPT WILL GUARANTEE YOUR SPOT IN THE CAMP IF YOU HAVE QUESTIONS YOU CAN CONTACT US AT 704-253-2006

CAMP APPLICATION - Complete then hit submit button, directions for paying your deposit are listed below

Pay your deposit or entire camp fee Here

$40 Deposit

$140 Total