Referred to TABC Camp by Coach_________________________________________________________________
High School YOU attend(HS TEAM/Specialty Camp ONLY)__________________________________________
Name_____________________________Age_______Grade(Fall of 2008)________
Address______________________________________________________________
City, State, Zip Code______________________________________ Male Female (Please Circle)
Phone Number (Home)(________)_________________________
(Emer.)(_______)_______________________E-Mail Address_________________________
Name of High School Camper will attend________________________
Parent a TABC Member? _____Yes
Please Select the Camp(s) your son/daughter will attend.
All Camps will be held at Southwestern University in Georgetown, Texas.
Girls Fundamentals Camp June 13-15 Overnight Camper($280)___ Day Camper($220)____
Girls HS TEAM/Specialty Camp June 16-18 Overnight Camper($280)___ Day Camper($220)____
Boys HS TEAM/Specialty Camp June 20-22 Overnight Camper($280)___ Day Camper($220)____
Boys Fundamentals Camp June 24-26 Overnight Camper($280)___ Day Camper($220)____
Boys Shooting/Fundamentals Camp June 30-July 2 Overnight Camper($280)___ Day Camper($220)____
Additional fee for overnight stay between camps ($100.00) ______
Additional fee for airport pick-up ($30.00) _____
Mail this form and a check to:
TABC, PO Box 2886, Sugar Land, Texas 77487-2886 OR
Write your credit card below and mail or fax this form to TABC at: 281-313-8224
Credit Card #: _________________________________________________ Expiration Date: ________
Please circle one: VISA or MC
A NON-REFUNDABLE Deposit of $50.00 MUST accompany each application. Please use one application per camper. Send all payments (deposits and balances) to: T.A.B.C., P.O. Box 2886, Sugar Land, Texas 77487-2886. Do not send payments or correspondence to Southwestern University.
THE FOLLOWING STATEMENT MUST BE SIGNED BY A PARENT OR GUARDIAN.
Please Read Carefully.
I hereby give permission for my child to participate in the T.A.B.C. Camp of Champs. This authorization shall waive, release, and absolve the Texas Association of Basketball Coaches (T.A.B.C.) and its staff, members, camp workers, Board of Directors, officers, employees and sponsors from any and all liability for injury or illness incurred at camp. T.A.B.C. IS NOT RESPONSIBLE FOR ITEMS STOLEN FROM, OR LEFT BY MY CHILD AT CAMP. I give the staff permission to act for me according to its best judgment in any emergency. I also certify that the above applicant has no physical problems, which would impede his/her participation at the T.A.B.C. Camp of Champs. I do understand that ALL medical expenses due to injury/illness suffered by the camper while at camp are the SOLE RESPONSIBILITY of the parent/guardian of the camper. I also give T.A.B.C. Camp of Champs permission to use photographs of my child for PROMOTIONAL PURPOSES ONLY. I understand my camper's name will not be attached to any photographs put on display in promotional items for the
T.A.B.C. Camp of Champs.
Signature of Parent/Guardian___________________________________________________________