Elite Camp Registration Form - Northeastern State University

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2017 Northeastern State University Elite Camp July 8 8:30am-5 pm Camp fee: $75.00 Player’s Name: ____________________________________________________________________ Emergency Contact: ________________________________________________________________ Emergency Phone #: ________________________________________________________________ Home Phone #: ____________________________________________________________________ Address: _________________________________________________________________________ _________________________________________________________________________ HS Graduation Year: ___________

Age: ___________

Email Address: ____________________________________________________________________ Ht: ________

Wt: ________

Position: ________

T-Shirt Size: ________

School: __________________________________________________________________________ Coach: __________________________________________________________________________ Coach’s Phone #: _________________________ Coach’s e-mail address______________________ Mail Registration Form to:

Mark Downey Basketball Camp 603 N. Grand Ave Tahlequah, OK 74464

Make Checks Payable To:

Mark Downey Basketball Camp

* We will also offer a shooting camp on July 9th * We also have discounted hotel rates for both Friday and Saturday evenings for the weekend. For more information please call the NSU Basketball office at 918-444-9313 Or email [email protected]