REGISTRATION INSTRUCTIONS:     Back to AlphaWolf Home page

1-  Enclose full payment.  (Checks should be made payable to AlphaWolf Athletic Co.)

2-  Mail to:  AlphaWolf Athletic Co.  --  1008 S. Lafayette  --  Royal Oak, MI  --  48067

 

Child's Name: ____________________________________________    Age:_____    D.O.B.:  _____/_____/_____

 

Address: ___________________________________________City/Zip: ________________________________

 

Home Phone: ________________________________       Cell Phone: ___________________________________

 

Parent's Names: ______________________________       E-Mail: _______________________________________

 

Credit card #:  ________________________________      Exp: _________            MC_____   Visa_____

 

Please note that some camps do not accept credit cards!    Total: _____________     Child's Grade in Fall 2011: _____

 

Please mark the camp you wish to attend along with the appropriate camp fee (based on residency):

*Credit Cards are not accepted for camps marked with *
 

Week of  CAMP Camp Fees Week of  CAMP Camp Fees
6/18 6/22 Geo's HOOPMANIA $195 7/30 8/3 Tournament Camp* $175
Birmingham Seaholm HS     in Bloomfield Hills      
6/18 6/22 Training Camp (gr 9-10) $195 8/6 8/10 Tournament Camp* $175
Birmingham Seaholm HS       in Bloomfield Hills  
6/25 6/29 Geo's HOOPMANIA $180 Res. 8/13 8/17 Rookie Camp  (gr 1-3) $145
  Call 248-541-3030 to reg   $200 N/R       at Greenfield School      
7/9 7/13 Geo's HOOPMANIA $190 mem. 8/20 8/24 Geo's HOOPMANIA* $175
  Franklin Athletic Club   $230 n/m       in Bloomfield Hills      
7/16 7/20 Rookie Camp (gr 2-4) $145 8/20 8/24 Training Camp* $175
    at Greenfield School             grades 9-10      
    in Bloomfield Hills      
7/23 7/27 Geo's HOOPMANIA $190 mem.    
    Franklin Athletic Club   $230 n/m              


PLEASE LIST ANY MEDICAL CONDITIONS WHICH THE CAMP STAFF SHOULD BE MADE AWARE:

__________________________________________________________________________________________________

Waiver:  I understand that I am placing my child in a program that involves the risk of physical injury.  I understand that I cannot hold the AlphaWolf Athletic Company, it's staff and the host facility responsible for such injuries.  I acknowledge that I have made the AlphaWolf staff aware of any known conditions which may increase the risk of physical injury.  I acknowledge that I have made the AlphaWolf staff aware of all conditions which may affect the treatment of my child in the case of an emergency. In the event of an emergency, I give my permission for the AlphaWolf staff and/or the staff of the host facility to administer the necessary first aid.  I also understand that I cannot hold the AlphaWolf Athletic Company responsible for lost, damaged or stolen items.  I also understand that my child may be dismissed from camp, with no refund, in the event he or she is disruptive or unsportsmanlike.
 

 

PARENT SIGNATURE: ________________________________________________   DATE: ____________________