To
register for the West Burlington Camp: Please complete and print
out the online registration form. Mail completed
and signed registration form with the camp fee $89.00*
to: The
Next Level Basketball Camp WB, 8037 County Road G-62,
Winfield, IA 52659
*Due
to the popularity of the camp, we encourage you to register as soon as
possible. If you find out about the camp late,
please contact us to see if there are any
openings. Camp Registration Fee before June 1,
2007, $89.00. *Camp Registration Fee after
June 1, 2007, $99.00. Checks payable to:
The Next Level Basketball
Camp WBQuestions? thenextlevel4@yahoo.com
or call 319-257.6262.
Camp, Date, and
Time
Camper's
Name
Address
City
State
Zip
Home Phone
Work
Phone
T-shirt Size
(adult sizes)
Camper's Birth
Date
E-mail
School
Attending
Grade Entering
in Fall of 2007
First year camper?
Parent/Legal
Guardian Authorization: I hereby authorize
the directors of The Next Level Basketball Camp to act
for me according to their best judgment in any
emergency requiring medical attention, and I herby
waive and release the camp from any liability for any
injuries sustained while at camp. I also certify
that my son/daughter is medically fit to participate
in this program.