Printable Form for Mail-In Registration

*Player's Name:
*Height:
*Weight:
   
*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)
   
*Indicate the session of your choice
   
NOTE: A 2008 graduating senior can attend any session and high school and AAU teams are welcome at “Blue-Chip”.

*By checking this box I agree to the following terms and conditions:
   

“Blue-Chip” does not provide medical insurance for campers. This is the responsibility of the parent or guardian. Your signature below gives permission for his treatment for injury or illness at the Georgetown Community Hospital with the understanding that the financial responsibility is yours.

Refunds/Cancellations
Canceling 15+ days prior to camp = $50 fee. Canceling 3-14 days prior to camp= $100 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.

Refund Insurance for Pre-Camp Cancellation
“Blue-Chip”is pleased to offer you an opportunity to buy cancellation insurance for merely $10. Should the camper have to cancel for any reason up to 1 week before camp starts, there will be a full refund given. After that time, there is a $100 cancellation fee up to the day before camp starts. Once camp starts, there is no refund of any money. This non-refundable $10 refund insurance fee must be sent at the same time with the application and camp deposit.

   
*Please type your name here to digitally sign your consent:
   
*Please select your payment plan:


Registration is not complete until payment thru PayPal is made. Click here for a printable mail-in version of this form.
   
For questions call (502) 543-7308 or fax (502) 543-4635.
   


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