2009 Hoop Mountain National Boys Basketball Camps & Recruiting Showcases Registration Form

Name:                                                                                                         Date of Birth:

Age:                          Grade (Entering next fall):                                             Graduation Year:

School:                                                                   School City & State:

Height:                       Primary Position:                    Jersey Size:                   Sneaker Size:

Home Street Address:                       

City:                                                                                          State:                                                      Zip:

Phone Numbers:                       

Email:                       

Insurance Carrier:                                                                   Policy #:

High School Players Only: Are you currently being recruited by any colleges? If yes, please list schools or level:

GPA: _______ ACT/(P)SAT Score: ________ College Basketball Level You are Interested In: __D1 __D2 __D3 __Other

Hoop Mountain Basketball Camps and Showcases (Please check all attending):

Super Weeks: SW 1: June 29 to July 2 SW 2: July 6 to 9 SW 3: July 10 to 13

Junior Super Weeks: JSW 1: June 29 to July 2 JSW 2: July 6 to 9 JSW 3: July 10 to 13

Hoop Mountain Academies: Point Guard Academy Post Player Academy Shooting and Scoring Academy (All Academies will be held July 17-20)

National Recruiting Showcases: March 29 April 26 May 17 June 14 July 9 (D1)
July 13 (D1) July 31 (D1) July 31 Pre-Showcase Camp (D1)

National Team Camp June 12-14: Team: _________________________________________________ 

National Invitational Tournaments: April 24 to 26 May 15 to 17 Team: ________________________

Camp Transportation Needed: From/To: Erie Airport Erie Greyhound Station Erie Amtrak Station ($25 each way)

DISCOUNT CODE: _______________________________

Waiver: I understand that I am enrolling my child in the Hoop Mountain PA Basketball Camps and Recruiting Showcases and that Hoop Mountain PA, Coach Daryn Freedman and any facilities that are used or any coaches will not be liable for any injuries incurred during participation in the program. I also understand that there are no refunds! If a player is injured and can’t continue, he or she will receive a prorated credit towards another Hoop Mountain PA program. The applicant is in good health and able to participate in the physical activity of a vigorous program. The camp has my permission to provide emergency medical care in the event my son is injured or ill. I understand that Hoop Mountain retains the right to use, for publicity and advertising purposes, all photos and video of campers taken during camp.

Signature of Parent/Guardian:  ______________________ Date: ____________________

To reserve a spot in any camp, please send a $100 non-refundable deposit or full payment. To take advantage of the Early Bird Discounts (prior to May 1, 2009) you must send full payment! If you send a deposit, full payment is due by first day of camp.

Please mail completed registration form along with a check made out to: Hoop Mountain PA Basketball To: Hoop Mountain PA Basketball, ATTN: Coach Daryn Freedman, 547 Burkes Drive, Coraopolis, PA 15108