PHS YOUTH BASKETBALL CAMP 2008
"CHAMPIONS ARE MADE, NOT BORN"

Register Online or Download the Registration form: Both require check to be mailed in for payment. 

Father Name:  Email:   Home Number:   Mobile Number:  

Mother Name: Email:   Home Number:   Mobile Number:  

Address: City:   State:   Zip

Interested in joining the Booster Club? YES NO

We hereby request that you acknowledge the application(s) of Camper #1 
Camper #2,  Camper #3 in the 2008 Ponderosa Youth Basketball Camp and we release all of the Ponderosa Basketball Camp Staff, Ponderosa High School and Douglas County School District from all claims arising from injuries which may be sustained by our child/children while attending the camp.  We also certify that all applicants are physically fit to participate in the Summer Ponderosa Basketball Camp. 

 We carry the following Health and Accident Insurance:

Company         Policy Number

Parent Signature  Date:
(By Signing this Form electronically) you are confirming you agree to the terms above.

INSTRUCTIONS:
PLEASE ELECTRONICALLY SUBMIT IT TO US BY HITTING
THE SUBMIT BUTTON BELOW.
MAIL YOUR CHECK
MADE PAYABLE TO:  PONDEROSA BASKETBALL
SEND TO: COACH RAWLINGS - PHS YOUTH BASKETBALL CAMP
9935 STONEBRIAR LANE  
PARKER, CO  80134