2008 Girls Enrollment Application:

Just print this application and fill in your choices then tear or cut along lines and send.


Girls application for Dick Baumgartner `s Basketball Shooting Camp 2008

Name_______________________________ Date____________
Home Address_________________________________
City_________________ State_____ Zip____________
Phone(____)_________ E-mail______________________________

Age_____ Height______Weight______ T-Shirt Size__________
School________________________________ Grade going into School______
Varsity Coach's Name_______________________ Position Played___________________
Did you attend our camp last year?________ Roommate Preference____________________

Please check the sessions preferred:
___July 6-9___July 13-16 ___July 20-23    Second Choice is Week of__________

I enclose ____$419 for payment in full or ____$100 deposit.
Day Camper Fee includes all meals______$360 for payment in full or ______$100 deposit


Please make checks payable to Dick Baumgartner`s Shooting Camp. Balance will be due at the opening of camp. Your deposit will be refunded if the camp is filled at the time we receive your application, otherwise the deposit is non-refundable.
Please enclose a stamped, self-addressed envelope for return confirmation.

I hereby grant permission to the Basketball Camp to have my child treated by a physician, if necessary. My child is physically fit, according to our family physican.

X Parents Signature:_________________________________


Mail Application to:
Dick Baumgartner's Basketball Shooting Camp
549 Meadowbrook Road
Richmond, Indiana 47374


Office:765-939-2500 (9 a.m. to 5 p.m. Monday - Friday)
www.dickbshootingcamp.com - www.baumgartnerbasketballcamp.com
E-mail: bsureshot@aol.com