SUMMER 2010

Gregory Portland June 7-10	$100 through May 31 $120 after May 31
Lake Travis High School June 14-17	Registration through LT Community Education
Dripping Springs Middle School June 14-17	Registration through DS Community Education 512-858-3120
Concordia University I (Austin) June 21-24	$150 through June 1 $175 after June 1
Austin Anderson HS June 21-24	$150 through June 1 $175 after June 1
Howe, Texas June 28- July 1	$100 through June 10 $120 after June 10
Fredericksburg HS June 28- July 1	$99 through June 22
Cedar Park Recreation July 6-9	$150 through June 1 $175 after June 1
Hutto High School	CANCELLED
Belton HS July 12-15	$95 through June 2 $110 after June 2
Halletsville HS July 12-15	$95 through June 12 $110 after June 12
Regent’s School of Austin July 12-15	$150 through June 1 $175 after June 1
Concordia University (Austin) July 19-22	$150 through June 1 $175 after June 1
Dripping Springs YMCA July 26-29	$130 through July 2 $150 after July2
St. Michael’s Academy (Austin) July 26-29	$150 through June 1 $175 after June 1

**Note: Deduct $10 for each brother/sister attending (This doesn't apply to Dripping Springs camp)**

Registration Form

Now accepting registration for the Summer 2010 camps!
Please print out, fill out and mail in this registration form. You will need to send a minimum $50 non-refundable deposit, FOR EACH CAMP, to Lone Star Hoops with this form. Please address checks to "Lone Star Hoops LLC" and send with registration to:

Lone Star Hoops LCC.
907 East Park Street
Cedar Park, TX 78613

If you like, you can send the full fee amount for the camp that you have selected at this time (if not, the full amount will be due the first morning of the camp). Please contact Jan Jernberg at (512) 528-9705 with any questions.

Camper Name:

____________________________________

Gender:

_______________

Age:

_________

Billing Address:

____________________________________

City:

__________________ Zip ______________

Doctor Name:

____________________________________

Dr. Phone #:

____________________________________

Attended School:

____________________________________

Grade Entered:

____________

Home Phone #:

____________________________________

Shirt Size:

XS    S    M    L    XL 

(circle your adult size selection)

NOW ACCEPTING CREDIT CARDS:

Cardholder Name: _______________________________

Card #: _________________________________________

Expiration Date: _________________________________

Card Security Code (3 digits- back of card) _________

Email Address: _________________________________

Total Amount (must be paid in full) _______________

(check all camps that apply)

Camp Location:

Gregory Portland HS

Concordia University I (June 21-24)

Austin Anderson HS

Howe HS

Fredericksburg HS

Cedar Park Recreation

Belton HS

Hallettsville HS

Concordia University II (July 19-22)

St. Michael’s Academy

Regent’s School of Austin

Dripping Springs YMCA

Comments:

____________________________________

In accordance with Lone Star Hoops LLC policy. I give my consent for the above named camper to participate in all LSH activities. I also consent to LSH securing medical attention/transportation deemed necessary in an emergency. I will not hold Lone Star Hoops LLC responsible for injury or liability and will secure adequate personal insurance for LSC duration.

Signature:

_______________________

Date:

___________

© Copyright 2000-2001. Lone Star Hoops LLC. All rights reserved.