Cobber
Sports Home Page
Concordia
Home Page
| Cobber Men's Basketball | Cobber
Home |
2003 Cobber Boys Cage Camp Online Registration Form
Please Print and Send to:
Cobber Boys Cage Camps, Concordia College, 901 South Eighth St., Moorhead,
MN 56562
PLEASE PRINT CLEARLY
_________________________________________________________________________________
Last Name
First
email
_________________________________________________________________________________
Address
City
St
Zip
__________________________________________________________________________________
Phone
t-shirt size (adult)
Grade in 2003-4 Age
Height
__________________________________________________________________________________
Parent's Name(s)
Team Played On
__________________________________________________________________________________
School
Coach
Roommate
I hereby request that you accept the enrollment of ___________________________________in the 2003 Basketball Camp. I hereby release the Cobber Basketball Camp Staff, Concordia College and all their employees and agents from all claims on account of any injuries which may be sustained by my daughter while attending the camp, and any claims hereafter which may be presented by my daughter while attending this camp, and any claims which hereafter may be presented by my minor daughter as a result of any such injuries. I also certify that she is medically fit to participate in this camp.
___________________________ ___________________________________
Parent's name (print)
Parent's signature
________________________________________________________________
Work phone
Home phone
Each camper is responsible for her own insurance.
Camp Session(s).
Please check the camp(s) you are entering.
______Cobber Boys Camp - Grades 4-6, 7-9, 10-12 (June 16-20)
______Varsity Team Camp - Grades 9-12 (June 21-22) (Please send in all registrations as a team)
______Jr. High Team Camp - Grades 6-8 (June 23-25)
Camp Accommodations - Please check one.
_____Resident Camper (all services) ______Board (meals but no room) _____Instruction only
A non-refundable fee of $50 is required to hold your spot in this
camp. The balance is due at registration. Please make checks payable
to Cobber Cage Camp.
Send to: Cobber Boys Cage Camps, Concordia College, 901 South Eighth
St., Moorhead, MN 56562
Camp Director - Duane Siverson
Call 218-299-4160 or email: dsiverso@cord.edu
This page is maintained by the Concordia Sports Information
Office sid@cord.edu