On-Line Registration Form

October 29, 2011 Basketball Clinic featuring Bob Hurley
The event will take place at White Plains High School from 4PM to 6PM followed by pizza with basketball celebrities.
Parents are encouraged to stay for the clinic and/or join us for pizza at no additional charge.
Ages 6 – 16. Discounted Price of $40 per child
Register on-line using Visa, Mastercard, or American Express

*Child 1:

Age: Boy Girl

Child 2 (if applicable):

Age: Boy Girl

*E-mail address:

*Address:

*City:

*State: *Zip:

*Phone Number:

*Parent or Guardian Name:

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.

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.