AlphaWolf Basketball Summer Camp Registration

REGISTRATION INSTRUCTIONS:     Back to AlphaWolf Home page

1-  Enclose full payment.  (Checks should be made payable to AlphaWolf Athletic Co.)

2-  Mail to:  AlphaWolf Athletic Co.  --  1008 S. Lafayette  --  Royal Oak, MI  --  48067

 

Child's Name: ____________________________________________    Age:_____    D.O.B.:  _____/_____/_____

 

Address: ___________________________________________City/Zip: ________________________________

 

Home Phone: ________________________________       Cell Phone: ___________________________________

 

Parent's Names: ______________________________       E-Mail: _______________________________________

 

Credit card #:  ________________________________      Exp: _________            MC_____   Visa_____

 

Please note that some camps do not accept credit cards!    Total: _____________     Child's Grade in Fall 2008: _____

 

Please mark the camp you wish to attend along with the appropriate camp fee (based on residency):

*Credit Cards are not accepted for camps marked with *
 

Week of  CAMP Camp Fees   Week of  CAMP Camp Fees
6/23 6/27 Geo's HOOPMANIA   $190 Res Fee   7/21 7/25 Girls Power Camp   $135 Res Fee
  Birmingham Seaholm HS   $195 N/R Fee       In Huntington Woods   $149 N/R Fee
                       
6/30 7/2 Power Camp Gr. 6-8*   $60     7/28 8/1 Tournament Camp*   $190  
  In Beverly Hills             in Bloomfield Hills      
                       
6/30 7/2 Power Camp Gr. 3-5*   $60     8/4 8/8 Geo's HOOPMANIA   $200  
  In Beverly Hills             West Bloomfield HS      
                       
7/7 7/11 Tournament Camp*   $200     8/11 8/15 All-Star Skills Camp   $135 Res Fee
  in Bloomfield Hills             In Southfield   $170 N/R Fee
                       
7/14 7/18 All-Star Skills Camp   $135 Res Fee   8/18 8/22 STATS Camp   $190 Res Fee
  In Southfield   $170 N/R Fee       at Birmingham Covington   $195 N/R Fee
                       
7/21 7/25 Geo's HOOPMANIA   $190 Res Fee              
  Birmingham Seaholm HS   $195 N/R Fee              


PLEASE LIST ANY MEDICAL CONDITIONS WHICH THE CAMP STAFF SHOULD BE MADE AWARE:

__________________________________________________________________________________________________

Waiver:  I understand that I am placing my child in a program that involves the risk of physical injury.  I understand that I cannot hold the AlphaWolf Athletic Company, it's staff and the host facility responsible for such injuries.  I acknowledge that I have made the AlphaWolf staff aware of any known conditions which may increase the risk of
 physical injury.  I acknowledge that I have made the AlphaWolf staff aware of all conditions which may affect the treatment of my child in the case of an emergency. In the event of an emergency, I give my permission for the AlphaWolf staff and/or the staff of the host facility to administer the necessary first aid.  I also understand that I cannot hold the AlphaWolf Athletic Company responsible for lost, damaged or stolen items.  I also understand that my child may be dismissed from camp, with no refund, in the event he or she is disruptive or unsportsmanlike.
 

 

PARENT SIGNATURE: ________________________________________________   DATE: ____________________