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Registration Form |
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Make checks payable to: Robert F. McCormack, Inc. For more information, call 314-985-6100 ext.2106 |
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Bob McCormack Summer Basketball Camps 2010
Name: __________________________________________________________
Age ______________ Height ________ Weight _____________
Address: ________________________________________________________________ City/State/ZIP
______________________________________Phone:_____________________ Emergency Contact/Phone: ________________________________________________________________
Grade (as of 9/10) _________ T-Shirt Size (adult) _____________
School/Team______________________________________________________
E-Mail address: _________________________________________________________________ CAMPS: (Please circle appropriate camp): For Ages 7 -14 May 31-June 4 AM or PM June
7-11 ($200) June 14-18
($200) June 21-25 ($200) June 28-July 2 ($175) July 5-9 ($200) July 12-16 ($200)-SOLD OUT A $50 NON-REFUNDABLE processing fee is charged for a
cancelled reservation I hereby request that my child be admitted to the
Bob McCormack Basketball Camp. I hereby authorize and direct the Basketball
Camp staff to exercise and act in their best judgment in the event any
medical emergency regarding my child may arise. I also hereby confirm that my
child is covered by accident insurance which provides coverage for any
accidental bodily injury. By my signature below, I hereby agree to hold
harmless Bob McCormack, Robert F. McCormack Inc. and any of its agents and/or
employees in connection with any incident or occurrence arising out of my
childs enrollment in the Basketball Camp. Payment in full is required at
time of registration to reserve your child's position. PARENT/GUARDIAN SIGNATURE (required) ______________________________________________________ Print Name:
____________________________________________ Make checks payable to: Robert F. McCormack, Inc. Mail to: FAX/VOICEMAIL (314) 862-1806 |
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