Blazer Basketball Camp

E-Mail Us: Blazercamp@aol.com
For Info Call: (702)799-5850 Ext. 4304

Please register below using Paypal.

If not using Paypal please mail registration form (screen print) along with check or money order payable to Durango High School:

Blazer Basketball Camp
5544 Brownfield St.
Las Vegas, NV 89148

Your registration will be complete ONLY when payment is received.

Blazer Camp will be held at:

Durango High School
7100 W. Dewey Dr.
Las Vegas, NV 89113

Registrant Information

Name:


First	Last

Address:

City, State Zip:

Phone:

Email:

Birthdate:

Age:

Enrolled School (Fall 2009):

Grade (Fall 2009):

Height:

Weight:

Gender:

Shirt Size (adult sizes):

Father's Name:

Father's Work Phone:

Mother's Name:

Mother's Work Phone:

Emergency Contact:

Does your child have any medical conditions? Please Explain:

Comments:

Both Sessions

$225.00

Session I & II Summer 2009 - Campers registered for both sessions will receive one set of camper gifts.
June 9-12 (T-Fr) & June 15-18 (M-Th)	9:00 AM - 1:00 PM

Camp Session

$125.00

Session I Summer 2009
June 9-12 (T-Fr)	9:00 AM - 1:00 PM

$125.00

Session II Summer 2009
June 15-18 (M-Th)	9:00 AM - 1:00 PM

Please read carefully:

I hereby authorize the directors of the Blazer Basketball Camp to act for me according to their best judgement in any emergency requiring medical attention and I hereby release, exonerate and discharge the camp and its employees from any and all actions or cause of actions known or unknown for any injuries incurred while at camp or on the way to camp.

I have read and agree to all terms and conditions above

Parent or Guardian Initials for Consent