RANCHO ELITE BASKETBALL

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2017 BALLHOGGZ SUMMER BASKETBALL CAMP

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

Home Phone:

Birthdate:

Email:

Gender:

Grade:

PARENT/GUARDIAN #1

Firstname:

Lastname:

EMail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

Insurance Carrier:

Policy #:

WAIVER INFORMATION

Please have campers arrive 30 minutes prior for camp waiver forms to be completed. Campers will not be admitted without having a signed waiver form.

I/we agree with the above *

Pre Registration : Payments accepted Cash,Money Order,Check. Please mail Payment to "Kevin Alexander" 9836 foothill blvd #6111 Rancho Cucamonga Ca 91730. To Contact the Camp Director, Please Call 909-276-6282. DEADLINE JULY 6th *

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2017 BALLHOGGZ SUMMER BASKETBALL CAMP