Page Title

Send registration form to:
txgrandne@gmail.com
Texas Prep Basketball School
c/o Rene Hoffpauir
229 Bob White Lane
Anahuac, TX 77514

Camp Tuition:        $375.00 Checks payable to: Texas Prep Basketball School

(please print).
Last Name:                                        First Name:

Address:

City:                                                 State:                         Zip:

Phone:                                         Alt phone:

Height:          Weight:           Age:                Sex:______Grade 2012-13:

School (name/city):

valid email address:

Roommate preference: (optional)

I hereby authorize the Directors of Texas Prep Basketball School to act for
me according to their best judgement in any emergency requiring medical
attention and I hereby waive and release Texas Prep Basketball School
from any and all liability.


Parent or Guardian Signature                                Camper signature

Insurance Information:


Medical Insurance Company                                Policy holder’s name


Policy and Group #

Deposit only $175.00

Payment in full $375.00

Balance $200.00