Tina Martin's Girls Basketball Camp
at the University of Delaware

Date: Session I: June 20-24, 2011
Session II: Aug. 1-5, 2011
Time:9:00 a.m. - 3:00 p.m.
Where:Delaware Field House
Registration form below and Medical Information Form to be completed by parent/guardian.

For more information, call Jeanine Radice at (302) 453-9659 or e-mail jradice1512@yahoo.com.

Symbol Key: required Required Information, required Error

Student name: required
Age: required
Height: required inches
Weight: required pounds
Grade in Fall 2010: required
School: required
Home address: required
City: required
State: required
Zip code: required
Home phone: required
(use format nnn-nnn-nnnn)
Emergency phone: required
(use format nnn-nnn-nnnn)
Business phone: required
(use format nnn-nnn-nnnn)
Cell phone: required
(use format nnn-nnn-nnnn)
Parent/Guardian
e-mail:		 required
(use format xxx@xxx.xxx)
T-shirt size: required
Session: required
This camp is independently run and is not a University of Delaware sponsored camp.