HOOP CAMP APPLICATION FORM

Please Print or Type

Name: ____________________________________________________________
Address: __________________________________________________________
City: ________________________________ State: __________ Zip: _________
Age: ______________ Telephone Number: _______________________________
Sept 2011 Grade: ____ School: _________________________________________

Session Applying For: __________________ Date of Session: ________________
Height: ____________ E-Mail ___________________________________________
Weight: ____________ Parents Signature: ________________________________
Previously Attended Hoop Camp? (Yes No)