OVERNIGHT CAMP

PLEASE ENROLL THE FOLLOWING CAMPER FOR THE 1997 SUMMER SESSION AS A

- Overnight - Day Camper

Name

Home Address

Phone (

School Now Attending

Have you attended UAB Basketball Camp before?

I hereby authorize the staff of UAB Basketball Camp to act for me according to their best judgment in any emergency requiring medical attention, and I

hereby waive and release the Camp from any and all liability for any injuries or illnesses incurred while at Camp.

Please return this Camp Application with a $100 deposit, which I understand is NON-REFUNDABLE, to: UAB Basketball Camp, University of Alabama

at Birmingham, 617 13th Street South, Birmingham, AL 35294. Make check payable to: UAB Basketball Camp, For questions, call (205) 934-3402.

Date

Group Rate

Age at Camp

- City, State

Men's T-Shirt Size (S, M, L, XL)

Coach

Roommate

Preference

Height - Weight

Zip

Grade, Fall of 1997