Registration For 2020 Rome Holley Summer Basketball Training Camp

Summer Basketball Training Camp Participant Information

Participants Name *

First Name Last Name

Birth Date *

Month Day Year

Address *

Street Address

City	State / Province
Postal / Zip Code	Country

HOME Phone Number

Area Code Phone Number

CELL Phone Number:

Area Code Phone Number

Medical Conditions

Main Email *

must check often; add info@thecruiseacademy.com to your address book

Training Camp Attendance

Session 1 July 20th-24th from 9-3:30 ($250) Session 2 July 27th - 31st from 9-3:30($250) Both Sessions July 20th-24th and 27th-31st from 9-3:30 ($400)

Have You Attended A Skills Clinic Here before? *

YES NO

T-Shirt Size:

What do you wish to accomplish from attending Rome Holley's Skills Clinic?

How Did You Hear About Us? *

Parent Signature

Please Send Payment and Registration form to:

New Level Basketball

1409 Vida drive

Baltimore, Md 21207

Make Checks Payable to Rome Holley

For Debit or Credit Card Payments contact Allie Mowder at 443-974-8947