Fullcourt Press
"Fundamentals First" 
Skills Clinic
For Grades 4th-8th
presented by Den Flint Connection Basketball Academy

Saturday
January 30, 2010
2:00pm - 7:00pm
@ Immaculate Heart HS (Tucson AZ)
625 East Magee Rd
Oro Valley, AZ 85704

* Required fields
Name *
E-mail Address *
Confirm Selection: *	Fundamentals First Skills Clinic - Tucson
Best Phone Number: *
Mobile Phone:
Home Address: *
City/State/Zip Code: *
School: *
School Coach:
Grade 2009-10: *
Height: *
Weight: *
GPA: *
Parent(s) / Guardian: *
Health Insurance Company:
Policy Number:
Group Number:
*** I have read and agree to the Event Rules & Regulations as outlined at the bottom of this page. *	YES

I have read and agree to the Privacy Policy *

Spam prevention

Please enter the code shown above and click the 'Submit Form' button. This additional step is required to help protect against message spam.

Enter code above:

*** I understand that any Fullcourt Press Fundamentals Firts Skills Clinic (FPFFSC) participant who does not abide by the rules, regulations and policies established by the FPFFSC is subject to dismissal without reimbursement or recourse and I hereby waive and release the FPFFSC and Immaculate Heart High School (IHHS) from any and all liability for any injury or illness while participating in the camp.  I hereby authorize the directors of FPFFSC and IHHS to act according to their best judgment in any emergency if I cannot be contacted.  I understand that each camp participant is required to have their own medical and accident insurance.  I also understand that the FPFFSC retains the rights to use for publicity and advertisement purposes, photographs of camp participants.