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TOM CREAN BASKETBALL CAMPS

INSTRUCTION & COMPETITION CAMP SESSION II

Open to Grades 4-12

June 28-July 1 2013

9 a.m. - 5 p.m. Each Day

CAMP COSTS

$395.00 - Day Camper (lunch included)
$265.00 - Stay and Play Option (includes cost of meals and dorm stay for camper & parent)

CAMP DETAILS

- Check-In: 7:30-8:45 a.m. June 28

- Lunch included each day

- Are you in need of a ride? E-Mail Us and we'll try to connect you with someone in your area!

- For Stay and Play Overnight Option, parents MUST supervise and stay overnight with camper from dismissal of camp each day until the beginning of camp the following day. Includes all-you-can-eat breakfast and dinner buffets at on-site Indiana University Dining Facilities and lunch with the campers (and other parents) at our basketball facilities.


All camps open to all and any entrants

FOR ADDITIONAL INFORMATION:


- Phone: 1-812-855-2238
- E-Mail: For Further Information!
- Register On-Line: Coming Soon!
- Download Camp Brochure: Coming Soon!



2013 Instruction & Competition Camp Session II

At 5 p.m. on June 26, on-line registration for the Instruction and Competition Camp will close. No more registrations can be accepted after 5 p.m.
 
Registration Note Registrations will be accepted until the camp is full. No refunds or cancellations will be accepted once camp starts. Cancellations received before June 1 will receive a full refund minus a $25 administrative fee. Cancellations received from June 1 until camp opens will be refunded their camp payment minus a $100 late cancellation fee.

Once you have submitted your registrations you will receive a confirmation letter, complete camp information, a campus map and a medical history form that should be filled out and brought with you to registration. You also will be required to bring a physician's statement or a copy of your school or athletic physical. If you have questions, please call 812-855-2238.

Please complete the form below and submit camp payment.

 
As of June 19, only Day Campers can be accepted. Stay and Play option has sold out
 

Camp Option (select one)*
 Day Camper
 Stay and Play Camper
 
Camper's Name (Last, First)*
 
Home Address*
 
City*
 
State*
 
Zip*
 
Parent/Guardian Name(s)*
 
Parent/Guardian E-Mail Address*
 
Age*
 
Height*
 
Weight*
 
Grade Entering (as of Sept. 2013)*
 
For Stay and Play Campers Only - What is the name and relationship of the adult who will be staying overnight with the camper?
 
If you are registering two children for the Stay and Play option and having one parent watch both kids, do you want all three of you in one room, or would you want to have two rooms? (cost is the same)*
 Not Applicable
 One Room (note: per IU dormitory rules only two beds can be place in a room, so room would have two beds and one mattress on floor)
 Two Rooms
 
EMERGENCY NUMBERS  
Father's Home Phone #
 
Father's Cell Phone #
 
Father's Work Phone #
 
Mother's Home Phone #
 
Mother's Cell Phone #
 
Mother's Work Phone #
 
Name and phone number to call if parent/guardian(s) can't be reached*
 
INTERNAL - Campers do not fill out next two fields  
Mailed in Payment
 
Check Data (Check #, Amount, Date Received)
 

MEDICAL CONSENT FORM
To enable the Health Center of Indiana University and/or other health facilities in Bloomington to provide prompt care to your son, we must have a completed Consent Form on file each year. This way, we can help your child without delay in an emergency.
 
Camper's Name (Last, First)*
 
Birthdate (Month/Day/Year)*
 
Policy Number/Group #*
 
Insurance Company*
 
Name of policy holder*
 
Social Security # (only needed if used by insurance company)
 
Allergic Reactions
 
Present Medication (include dosage)
 
Date of Last Tetanus Toxoid
 
Any past or present illness or other information that would be useful in the event that treatment is needed
 

* I grant permission to the Directors, Assistants, or other persons responsible for his care to act on my behalf for said minor in granting permission for evaluation and treatment of medical problems. I understand that should a major medical problem arise, an attempt will be made to notify me by telephone. In the event that I cannot be reached, I hereby give consent to such medical treatment as deemed necessary (including surgery, x-ray examinations and anesthesia to be rendered to said minor by a licensed physician or nurse.)  

* Waiver: I do hereby waive, release and discharge the Tom Crean Basketball Camps and the respective staffs, employees, successors, and assigns, of and from any and all rights and claims for damages resulting from injury of my person or property, which may be sustained or suffered by me in connection with my association with or participating in, or arising out of my traveling to or from Indiana Basketball Camp. We, the parents/guardians, agree to the above waiver and release and we join therein.  

Parent/Guardian Name*
 

PAYMENT OPTIONS
Please select your payment option by indicating a '1' in the quantity field. We need a registration form and consents completed for each participant.

Note: A charge from Hoosiersportscamps.com will appear on your credit card for your on-line registration. However, if the IU Basketball Camp is cancelled for any reason, refunds must be collected directly from the IU Basketball Camp, Phone 812-855-2238.
 
Qty 
 $395.00 Option 1 - Day Camper