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

Camp Tuition:        $410.00  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 2014-15:                         

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 #
Register by Mail
or online!
Deposit $210.00
Balance $200.00
Make payment electronically
here;
Pay in full $410.00