On-Line Registration Form

MVP BASKETBALL CAMP APPLICATION 2012
Apply on-line using Visa, Mastercard, or American Express
NOTE: *Parents applying for scholarships will not be able to use this on-line submit form.

*Camper 1:

Boy Girl

Age as of camp:

White Plains Middle School
Highlands Campus

July 9-13 July 16-20 July 23-27 July 30 - Aug 3, for boys and girls ages 6 – 16

Fox Lane Middle/High School
Bedford, NY

June 25 – 29, for boys 9 – 16 and girls 9 – 13

Camper 2 (if applicable):

Boy Girl

Age as of camp:

White Plains Middle School
Highlands Campus

July 9-13 July 16-20 July 23-27 July 30 - Aug 3, for boys and girls ages 6 – 16

Fox Lane Middle/High School
Bedford, NY

June 25 – 29, for boys 9 – 16 and girls 9 – 13

*E-mail address:

*Address:

*City:

*State: *Zip:

I have previously attended MVP Camp

*Home phone:

Mother name:

Work:

Cell:

Father name:

Work:

Cell:

How did you hear about MVP?

If referred by an MVP coach, please indicate his or her name:

PRICES FOR CALCULATING YOUR TOTAL TUITION

Multiple week discounts based on total number of weeks children from same household attend camp (Can be used as a multiple week and/or multiple child discount)
One week paid by June 15	$395
Two weeks paid by June 15	$760
Three weeks paid by June 15	$1095
Four or more weeks paid by June 15	$350 per child per week
Price after June 15 (includes add-ons during camp if available)	$400 per child per week

Optional Extended Care 4 – 5:30 PM (Extra $15 per day)

I have read the Release of Liability and Assumption of Risk Policy and agree to its terms. Read Release of Liability and Assumption of Risk.

Calculate and enter your TOTAL:

MVP Basketball Day Camp 29 Homeside Lane, White Plains, NY, 10605 \| Call: 914-946-1231	Stay Connected:
Welcoming sports loving children from all over the Tri-state area, including Scarsdale, Rye, Harrison, Purchase, Armonk, Bedford, Mamaroneck, Larchmont, Mount Vernon, Yonkers and New York City, as well as Connecticut towns Greenwich, New Canaan, Ridgefield, and Stamford in Fairfield County, CT to our best basketball youth sports camps.