Crossover Basketball Camp

Camper First Name *

Camper Last Name *

Gender *

Male
Female

Grade Entering (Fall 2018) *

3
4
5
6
7
8

Address Line 1 *

Address Line 2

City *

State *

Zip / Post Code *

School Attending

Parent Email *

Parent Phone *

T-Shirt Size *

Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large

Please Note: Crossover Basketball Camp does not provide health and accident insurance. I hereby authorize Crossover leadership to act on my behalf according to their best judgement in any medical emergency. I understand any insurance claims will be filed with my personal insurance and are not the responsibility of the camp or Meadowbrook Christian School *

I Agree

Insurance Provider *

Insurance Policy Number *

Registration Type *

One Camper Full Registration ($125) after June 15
One Camper - Balance AFTER Deposit Only
2 Campers - Balance AFTER Deposit Only
3 Campers - Balance AFTER Deposit Only

Total Due $0.00

Camp Inventions’s July 9th-12th

Art Camp July 23rd -27th

Summer Athletic Program

Pass it on Soccer Camp August 6th- 10th