Register for East Coast Basketball Camps

June 21-26, 2010 at West Stokes High School

Registration Information:

Tuition is $150.

Immediate family members (brother/sister) receive a $10 discount ($140).

Registrations must be received before the first day of the camp. Tuition for applicants not registered before the day of the camp, including walk-up applicants is $160.

The camp runs daily from 8:30 am to 3:00 pm.

All camps are open to any boy or girl ages 8-18.

To ensure that each child receives the individual attention necessary for improvement we often must stop accepting applications once we reach our capacity.

To reserve your spot please include complete payment with your application. Space is reserved on a first come basis.

Campers should bring a bag lunch. Drinks will be sold at the camp site.

Each camper must have had a physical within the last calendar year before participating.

Register online

Mail application and make check payable to:

East Coast Basketball Camps
310 West 4th Street
Suite 405
Winston-Salem, NC 27101

(Click here for print friendly application)

2010 Application Form

Name___________________________ T-shirt size_______________________

Address_________________________________________________________

City, State, Zip____________________________________________________

E-mail__________________________________________________________

Phone______________________ Emergency number_____________________

Age as of 1st day of camp________Height______Male/Female______________

Grade in 2010-2011 school year____________School attending______________

I waive and release East Coast Basketball Camps from any and all liability from injury and illness going to camp from home or while at camp or while returning home. I, as parent/guardian, have actual knowledge and appreciation of the particulars of the program and hereby voluntarily consent to said minor's participation, and assume the risk arising therefrom. I hereby give my permission for emergency medical treatment in the event I can not be reached.

East Coast Camps requires a physical examination within the 12 month period of the date the camper is scheduled to attend camp.

Signature of Parent/Guardian:________________________________________________________

Date:___________________________________________

Tuition Discounts:

Family Discount $140.00 10 off
(Receive a $10 discount for each immediate family member (brother/sister enrolled)

Refund Policy: A refund less $50 for administrative costs can be requested until the camp starting date. After this date, no refunds will be given. All refunds must be requested in a written request.

You will receive confirmation of your enrollment.

Questions? E-mail us.

Mail completed application along with your tuition to:

Please mail to:
East Coast Basketball Camp
310 West 4th Street
Suite 405
Winston-Salem, NC 27101