Pine Tree 2 Co-ed Basketball Day Camp


If you have problems registering for this program please e-mail summer@colby.edu
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Applicant Profile
*First Name:
*Last Name:
*Address:
*City:
*State/Province:
If you are an international applicant (except Canada), leave the "State" field blank.
*Zip Code:
*Country:
*Daytime Telephone:
Evening/Cellular Telephone:
Fax:
*E-mail:
Enter the name of the attendee
Tuition
 
July 20 - July 24 Day Camp Session ($220)
Participant's DOB, Age and Height:
Participant's School, Grade and Coach as of September 2015
Level expected to play at in 2015-2016 (varsity, JV, etc.)
Total :
 
Medical Coverage
Company Policy No.
Group No.

We have a staff of highly qualified trainers. If a participant is not feeling well or is injured, the trainer will give immediate medical assistance. If the injury requires further attention, we take the participant to Maine-General Medical Center at which time we contact the parent or legal guardian. THE PARENT OR LEGAL GUARDIAN IS RESPONSIBLE FOR ALL HOSPITAL, PRESCRIPTIONS, LABORATORY AND DOCTOR'S FEES. Please indicate above your insurance information.

Additional Comments
Please enter any additional comments that you think we should know about your registration including any food preferences or allergies we should be aware of (255 characters max).
Billing Information
*Amount to Pay Today:
Registration confirmation will be sent via e-mail.

Release of Liability

By submitting this form, you have read and agree to the Release of Liability