2009-10 Grade:

MINI-CAMP REGISTRATION FORM

**Make Checks Payable to:  Hoops Plus, LLC

**Please Send Payment by: October 5, 2009 (if after this date, please bring to the camp): 

Camper First Name:

Male or Female:

Camper Last Name:

Home Address:

School:

Date of Birth:

City, State, Zip:

Height:

Skill Level (beginner, average, advanced):

Home Phone:

**Send Payment to:

Coach Jamy Bechler

Bryan College

721 Bryan Drive--Box 7803

Dayton, TN  37321

**Remember to bring Liability Waiver with you on the day of the mini-camp.

**Must Pre-Register to be guaranteed a basketball.

Post Player Academy

Point Guard Academy

Basketball Mini-Camp

Team

Play Days

Scenic City Classic

Daytime Phone:

Parent's Name:

DAYTON or CHATTANOOGA Mini-Camp Session?

Family Email: