Camper Information

Are you registering online? If so, please fill out qnd submit this camper information form. We will match it up with your online payment information.

Would you rather pay by check? That's fine, too! Just fill out the Camper Information Form and click on Submit. By checking the "Mailing Check" box we will know to look for it. Mail it to Complete Player Basketball Camps, P.O. Box 4597, North Hollywood, CA 91617.

Questions? Call us at 818-761-4891.

Contact information:

Camp Attending:

Camper's Name:

* required

Parent's Name:

* required

Street:

* required

City:

* required

State:

* required

ZIP:

Email:

* required

Home Phone:

* required

Cell Phone:

FAX:

Grade Completed 2008:

* required

Age at time of camp:

* required

School:

* required

T-shirt Size: (S,M,L,XL,XXL)

* required

Please note any medical conditions of which we should be aware:

Medical Insurance Company:

* required

ID #:

* required

I hearby authorize the staff of the Complete Player Basketball Camp to act for me in their best judgement in any emergency requiring medical attention, and I hereby waive and release the camp from any and all liability for injuries or illness incurred while in Camp. I understand that I am required to maintain and carry accident insurance coverage for the child listed on this application and I verify that the coverage information attached herewith is accurate and true. I also understand the Camp retains the right to use for publicity and advertising purposes photographs of campers taken at Camp.

Parent or Guardian - Please enter your name below to confirm
acceptance of above agreement:

* required

Please enter today's date:

* required

Mailing Check

Paying On-line with Pay Pal

Paying On-Line by Credit Card

Please click on the "SUBMIT" button to send us your application. If you wish to pay by Credit Card or Pay Pal, after clicking on "SUBMIT', return to this screen and click on the "Pay by Pay Pal or Credit Card" link below. Please click the "SUBMIT" button first before clicking on that link. Questions? Call 818-761-4891.

Pay by Pay Pal or Credit Card