NU Skills & Drills Camp Application (Print and Mail to address below)
Name____________________________________________ Home Phone______________________
Parents Name Mother______________________________Father_____________________________
Other_______________________________________
Address____________________________________ City____________ State_____ Zip___________
Email____________________________________ Grade_____________ Age____________
Emergency Contact/Phone #____________________________________________________________
I hereby authorize the Directors to act for me according to their best judgment in any emergency situation.
Parent/Guardian Signature____________________________________________________________
No Confirmation will be sent! May call to confirm if needed.
You will be notified if there is a schedule change
Make checks payable to: RISE Basketball Camp
Mail to: Paul Booth, Basketball Coach
Norwich University
158 Harmon Drive
Northfield, VT 05663
Name____________________________________________ Home Phone______________________
Parents Name Mother______________________________Father_____________________________
Other_______________________________________
Address____________________________________ City____________ State_____ Zip___________
Email____________________________________ Grade_____________ Age____________
Emergency Contact/Phone #____________________________________________________________
I hereby authorize the Directors to act for me according to their best judgment in any emergency situation.
Parent/Guardian Signature____________________________________________________________
No Confirmation will be sent! May call to confirm if needed.
You will be notified if there is a schedule change
Make checks payable to: RISE Basketball Camp
Mail to: Paul Booth, Basketball Coach
Norwich University
158 Harmon Drive
Northfield, VT 05663
