Pointer Men's Basketball Pointer Men's Basketball Site Sponsored by: The Backcourt Club Pointer Basketball 2004 & 2005 NCAA Division III National Champions



This registration form will supply the needed registration information. Once this form is completed you will need to send in your camp fee along with the Health Information form.





Please fill out the following form to submit your registration information.
1. Registrant Information Camper's First Name: 
Camper's Last Name: 
Home Phone (include area code): 
Street Address:
City: 
State:  
Zip: 
Date of Birth(xx/xx/xx):   Age(next Fall):
Grade(next Fall):
Height:  ft.   in.  
Shirt Size (Adult sizes): S  M  L  XL
School:
Mother's Name: 
Mother's Work Phone: 
Father's Name: 
Father's Work Phone: 
Resident:  Commuter: 
Roomate Request(if Resident): 
Contact Email Address

2. Select A Camp
Camp: 

 


3. Payment Information

Please select one of the following payment options:

Pay with Credit Card

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