US ELITE NATIONAL CAMP

January 18-20, 2008

Registration Form

 

You should pay your registration fee online BEFORE filling out this form. Fax this form to 214-670-0980 or mail it to: U.S. Elite, 321 Watercrest Dr., Desoto, TX 75115

 

Player Name:                                                         

 

Address:

 

City:                                                               State:                     Zip:

 

Sex:  M / F     Graduating Class:   2012    2013   2014        Uniform Size:                                                                      

 

Parent Name:                                                                 Cell Phone:

 

Home Phone:                             Email:                                            T-Shirt Size

 

Insurance Carrier                                               Insurance Policy #

 

Registration Fee $275 - Save $30 by registering early

Enter your PayPal Payment Confirmation #____________________

 

I ________________________ hereby release US Elite Basketball Camps, Staff and Baylor University from all Medical responsibility and Medical Claims in case of a accident or injury to my child. I do / do not (circle one) wish my child’s personal information released to college or university athletic departments or recruiting services.                            

 

Parent or Guardian Signature:

 

_____________________________________ Date___________________