Basketball Camp 2008 Registration Form

This form should be filled out by the camper's parent or guardian

You may register on-line or print this form and send it to:

Houghton College

Basketball Camp

1 Willard Ave

Houghton, NY 14744

Camper and Contact Information

                 Camper Name:     

                           Birth Date: 

     Entering Grade (Fall 2008): 

                                Height:     

                               Weight: 

                   Position Played:  
	Not Selected
	Guard
	Forward
	Center
	

                    Street Address:     

                   Address (cont.):       

   
                                   City:   

                    State/ Province:  

                                    Zip:  

                                School:  

               Parent Work Phone:  

                        Home Phone:  

                      Student Email:   

                        Parent Email:  

           Roommate Preference:  

       (List only one name. Request must appear on both campers forms. No Changes after June 15.)

          What level of basketball do you currently play at your school?  
	not selected
	Elementary
	Junior High
	J.V
	Varsity
	

          Other basketball experience or honors? 

          Is your daughter or son a returning camper:

                     Yes  No

         Does your daughter or son wish to sign up for a special session with the Houghton College shooting coach? ($30 additional charge) 

       Jersey Size:     
	not selected
	XS
	S
	M
	L
	XL
	XXL
	

Registration: 

Girls and Boys Basketball Weeks

                 Choose Boy's or Girl's Week  
	not selected
	Boys Week July 6-11
	Girls Week June 29-July 4
	

                    Basketball Week Sign Up         
	not selected
	Resident
	Day Camper*
	

                     Resident- $340

             Day Camper- $215 - * meals not included

                     Discounts- 

                            $20 discount if registration is received by April 1 (resident & day campers) 

                            $15 school discount (per person)

                            if seven or more register from the same school and registrations are mailed in the same envelope by May 1st. 

                            (only receive discount if 7 or more mail in together)

Building for the Future Camp for Grades 1 through 3

           Building for the Future Sign Up (select from the following)

                          
	not selected
	selected*^
	

                           July 7-10 (Grades 1-3)-- $100 -* Meals not included  ^ Discounts do not apply

Agreement

I understand that any camper who does not abide by the rules and regulations of the camp is subject to dismissal without reimbursement. I 

authorize the directors of the camp to act for my child, according to their best judgment, in any emergency requiring medical attention. Any 

medical bills will be billed first to my insurance plan primary carrier.

Parent's Name: 

Parent's Health Insurance Company and Policy Number 

By Submitting this form, you indicate your agreement with the above. 

After submitting your registration on-line, please mail your $50.00 deposit to 

Houghton College Basketball Camps, 1 Willard Ave, Houghton, NY 14744.

Once we receive your deposit, we will send confirmation of your camper's registration.

Please print this form as confirmation.  

If you have questions please contact Sheri Reynolds at 585-567-9645 or email basketballcamp@houghton.edu.  

She will be able to help you or will ask Coach Lord or Coach Zarges for their assistance to get your questions answered.  

You will soon receive a confirmation letter in the mail with your balance due and information on when to arrive to camp.