2008 Girl's Registration Form

Printable Form for Mail-In Registration

*Player's Name:
*Height:
   
*Class for next school year (2008-2009)
   
*Player's school for 2008-2009
*City of School
*State
   
*Player's Home Address
Address cont.
*City
*State
*Zip
   
*Player's Position
*Player's Birthdate
*Coach
   
*Home Phone # ( )
*Business Phone # of Parent ( )
   
Roommate Preference
   
*Select T-shirt Size (adult sizes)
   
*By checking this box I agree to the following terms and conditions:
   

Refunds/Cancellations
Canceling 15+ days prior to camp = $25 fee. Canceling 3-14 days prior to camp = $50 fee. No refund of total tuition fee if fail to give a 2 day notification that a player cannot attend. Players leaving camp early due to injury or other reasons will not receive a refund due to contractual obligations with Georgetown College. "No-shows" forfeit entire payment.

High Potential does not provide medical insurance for campers. This is the responsibility of the parent or guardian. Your signature below gives permission for her treatment for injury or illness at the Georgetown Community Hospital with the understanding that the financial responsibility is yours.
   
*Please type your name here to digitally sign your consent:
   
*Please select your payment plan (Note! Balance due two weeks before the start of camp):


Click here for a printable mail-in version of this form.
   
For questions call (502) 543-7308 or fax (502) 543-4635 or e-mail bolus@insightbb.com.
Note: A confirmation packet will be mailed to you upon receipt of your application and deposit.
   


High Potential® “Blue-Chip” Basketball Camp® • P.O. Box 155 • Shepherdsville, KY 40165
Phone: (502) 543-7308 • Fax: (502) 543-4635