RegistrationForm



		Winthrop Unversity Lady Eagle Basketball Camp REGISTRATION FORM
				For Official Use Only REC_____ DATE_____ CK#_____ DATE_____


	Camper Name__________________________________________ Age________ Height________ Grade (Next Term)________ Street Address__________________________________________ City____________________ State________ Zip______________ Home Phone #__________________________________________ Cell Phone #____________________________________________ School_________________________________________________ Parent/Guardian _________________________________________ E-mail _________________________________________________ Emergency Contact______________________________________ Phone_______________________Best time to reach ___________ Roomate Preference______________________________________

CAMP INFORMATION (Check the appropriate box & note amount paid) June 9-11 3 POINT CAMP I ________ DAY_____ DORM_____ AMOUNT PAID ________ June 18-21 TEAM CAMP ________ DAY_____ DORM_____ AMOUNT PAID ________ June 19-21 SKILLS CAMP ________ DAY_____ DORM_____ AMOUNT PAID ________ June 30-July1 POST CAMP ________ DAY_____ DORM_____ AMOUNT PAID _______ July 1-2 3 POINT CAMP II ________ DAY _____DORM_____ AMOUNT PAID _______ July 17-19 KIDDIE KAMP _______ DAY _____DORM _____AMOUNT PAID _______

			Mail this form & payment to: Winthrop Lady Eagle Basketball Camp Winthrop Coliseum Winthrop University Rock Hill, SC 29733

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