Registration For 2023 Rome Holley Summer Basketball Training Camp

Participants Name*

First NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

CityState / Province

Postal / Zip CodeCountry
HOME Phone Number

Area CodePhone Number
CELL Phone Number:

Area CodePhone Number
Medical Conditions
Main Email*
must check often; add info@thecruiseacademy.com to your address book
Training Camp Attendance

Session 3 July 17th-21st from 9-3:30($350)
Have You Attended A Skills Clinic Here before?*

YESNO
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 please contact us at 410-952-8470