2005 Cobber Girls Cage Camp Online Registration Form
Please Print and Send to:
Cobber Cage Girls' Basketball Camps, Concordia College, 901 8th St. S, Moorhead, MN 56562

PLEASE PRINT CLEARLY

Name___________________________________ Age _____

Address_________________________________ T-shirt size ______

Phone ___________________________

Parent’s Name _______________________________________________

School ___________________________ Coach’s Name ________________

Level of competition last year (circle):
    Varsity     JV     10th     9th     C team     B team     A team     Travel team

_____ A. Resident camper (all services)
_____ B. Board plan camper (lunch & dinner, no room)
_____ C. Commuter (no meals or room)

_____ Deposit $100 (nonrefundable)
_____ Full payment

_____ 1. June 20-24 Cobber Cage Camp (Grade 5-12)
_____ 2. June 25 Cobber Team Camp (varsity)
_____ 3. June 27-30 Cobber Cage Development Camp (Grade 3-9)
 

Roommate request: ____________________________________________

We (I) hereby request that you accept the application for enrollment of __________________________ in the 2005 Basketball Camp during the dates set forth in this application, and in consideration of your acceptance of the application, we (I) hereby release Cobber Cage Camp Staff and Concordia College and all their employees and agents from all claims on account of any injuries which may be sustained by our (my) daughter while attending the camp, and any claims which hereafter may be presented by our (my) daughter while attending the camp, and any claims which hereafter may be presented by our (my) minor daughter as a result of any such injuries. I also certify she is medically fit to participate in this camp.

_________________________________________________________________
Parent Signature                                                                            Date
 

Make Checks payable to Cobber Cage Girls’ Basketball Camp

Camp Director - Jessica Rahman
Call 218-299-4417 or email: rahman@cord.edu