Make your own free website on Tripod.com
  states3.gif (1708 bytes)               NationalSportsCampUsa.Com            
                    
                   Your Home For all your Camp Needs !!!!
                   MAXIMUM EXPOSURE FOR YOUR CAMP OR TOURNAMENT !
Home
Up
Nolan Richardson Camp


 

 

APPLICATION

CAMP

SESSIONS

I

 

(PLEASE CHECK)

JUNE 21-25 INDIVIDUAL CAMP OVERNIGHT CAMPER COST $260

SUNDAY 1-3 P.M. CHECK-IN; THURSDAY 2-4 P.M. CHECKOUT DAY CAMPER COST $195

UNE 26-27 JUNIOR HOG-FATHER SON CAMP

FRIDAY 4-5 P.M. CHECK-IN; SATURDAY 5:30 P.M.

CHECKOUT

GOING INTO GRADES 1-6

____.JULY 5-8 POSITION CAMP

SUNDAY 2-4 P.M. CHECK-IN; WEDNESDAY 10:00 A.M. CHECKOUT

---JULY 8-11 POSITION CAMP

WEDNESDAY 2-4 P.M. CHECK-IN; SATURDAY 10:00 A.M. CHECKOUT

JULY 12-16 INDIVIDUAL CAMP

SUNDAY 1-3 P.M. CHECK-IN, THURSDAY 2-4 PM. CHECK-OUT

JULY 19-23 INDIVIDUAL CAMP

SUNDAY 1-3 P.M. CHECK-IN; THURSDAY 2-4 P.M. CHECK-OUT

-OVERNIGHT FATHER & CAMPER COST $ 150* -,"AA,*PER FATHER & SON

-

DAY FATHER & CAMPER COST $I 00* -

OVERNIGHT CAMPER COST $225

DAY CAMPER COST $170

OVERNIGHT CAMPER COST $225

DAY CAMPER COST $170

OVERNIGHT CAMPER COST $260

DAY CAMPER COST $195

OVERNIGHT CAMPER COST $260

DAY CAMPER COST $195

APPLICANT

Information

NAME GRADE

ADDRESS CITY STATE ZIP

PARENT/GUARDIAN PHONE

ROOMMATES

IF YOU ARE AN OVERNIGHT CAMPER, PLEASE INDICATE THE NAMES OF THE CAMPERS YOU WOULD LIKE TO ROOM WITH OR NEARBY WHILE AT THE BASKETBALL CAMP

ALL CAMP SESSIONS ARE FOR BOYS AGES 8-

18

NOTE: NO REFUNDS FOR CANCELLATIONS WILL BE MADE UNLESS WE ARE NOTIFIED IN WRITING 2 WEEKS IN ADVANCE OF THE CAMP (LESS THE $50 ADMINISTRATIVE FEE).

MASTERCARD VISA

EXP. DATE

$5.00 credit card processing fee. CHECK ONE

0$100 DEPOSIT OR FULL PAYMENT MAKE CHECKS OUT TO:

NOLAN RICHARDSON

RAZORBACK BASKETBALL

CAMP

IF YOU HAVE ADDITIONAL QUESTIONS CONTACT THE NOLAN RICHARDSON

RAZORBACK BASKETBALL CAMP

CALL 501-575-6388/FAX 501-575-

6525

officers, agents, employees, representatives, successors and assign of and from all rights and claims for damages, injury, or loss to person or property which may be sustained during participation in camp activities or while at camp, whether or not damages, injury or loss are due to negligence.

It shall be understood that participating campers are contracting with the employee and not the University of Arkansas, and that the University and the State of Arkansas do not assume any contractual obligations for the conduct of the employee's activity.

Campers will not be allowed to play unless the information is submiffed and the form signed by the parent or guardian of the camper.

PARENT/

GUARDIAN:

RETURN TO:

I/We, the undersigned, hereby certify that I (we) am (are) the parent or legal guardian of the camper. I hereby give permission

1 for the staff of the camp to seek during the period of the camp appropriate medical attention for the camper and for the medical attention to be given and for the camper to receive medical atten- in the event of accident, injury, or illness. I will be responsible for any and all costs of the medical attention and treatment, except for that covered by the camp's excess medical coverage policy.

I/We, the undersigned, for ourselves, our heirs, executors and administrators, waive, release, and forever discharge the University of Arkansas at Fayetteville, and the camp, and its staff,

Parent or Guardian signature

MAIL COMPLETE APPLICATION ALONG WITH THE APPROPRIATE FEES

TO:

NOLAN RICHARDSON RAZORBACK BASKETBALL CAMP

BOX 748

FARMINGTON, AR 72730-0748

(Feel free to make copies for friends)

DOCTORS

STATEMENT OF

SCHOOL OR

check in

I have examined and found him healthy and able to compete in basketball

and general

recreational activities (of his choosing) during the Nolan Richardson Basketball Camp.

List any allergies to medications Pertinent information ( diabetic, epileptic, previous fractures, ect...

ate xamined

Physician

signature

Last Tetanus Shot