Teaches Basketball Camps LLC

Summer Camp Sign-up Form
Important Instructions - Please Read - You Must Submit This Form to Complete Camp Enrollment

If you have reached this form, you have already paid the camp fees with a credit card or have elected to sign-up for camp using a postal money order or personal check.  Please fill out the following form, in its entirety, as it contains important information necessary to enroll campers into our program and process your payment.  Make sure you select which camp you have signed up for (by checking the box to the left of the camp date) and tell us the number of campers you wish to enroll (in the category titled "Number of Campers").  All other fields must be completed before you will be allowed to submit the sign-up form.  When you have finished filling out the information, please press the submit button below.  If you have any questions regarding this form, please email signup@teacheshoops.com.

Payment by Credit Card:
If you elected to pay for tuition by credit card, please keep the PayPal confirmation e-mail that you received as proof of purchase.  Please bring this confirmation receipt with you to the first day of camp to help expedite sign-up. 

Payment by Check or Postal Money Order:
 Please make Checks and Postal Money Orders out to Teaches Basketball Camps, LLC and send to: 59 South Greeley Avenue, Chappaqua, New York 10514.  Please make sure you have written the camper's name on the check.
Name of Participant: Age of Participant:
Name of Additional Participant: Age of Additional Part:
Name of Additional Participant: Age of Additional Part:
Name of Parent(s)/Guardian(s):
Day Phone: Evening Phone:
Street Address:
City:  State: Zip Code:
Email Address:
Emergency Contact Name: Phone:
Method of Payment:

  Date Town Location Times Number of Campers Item #
6/23 - 6/27 Aurora, Ohio1 Aurora H.S. 9:00 - 3:30 SC62308-DGIB
 7/7 - 7/11 Armonk Byram Hills H.S. 9:00 - 2:30 SC70708-AOS
 7/14 - 7/18 Dobbs Ferry2 Dobbs Ferry H.S. 9:00 - 3:30 SC71408-DLEE
 7/14 - 7/18 Armonk3   Byram Hills H.S. 9:00 - 2:30 SC71408-ARM
 7/21 - 7/25 Dobbs Ferry Dobbs Ferry H.S. 9:00 - 2:30 SC72108-DBF
 7/21 - 7/25 Armonk4 Byram Hills H.S. 9:00 - 3:30 SC72108-ARM
 7/21 - 7/25 "Lacrosse"5 Tarrytown
Kingsland Point Park		 9:00 - 2:30 SC72108-TLAX
 7/21 - 7/25 Yorktown Brookside E.S. 9:00 - 2:30 SC72108-YRT
 7/28 - 8/1 "Girls Only 1" St. Pat's Church 9:00 - 3:30 SC72808-AGO1
 7/28 - 8/1 Chappaqua6 Horace Greeley H.S. 9:00 - 3:30 SC72808-C5S
 7/28 - 8/1 Potomac, Maryland7 Winston Churchill H.S. 9:00 - 3:30 SC72808-ABLA
  8/4 - 8/8 "Girls Only 2" St. Pat's Church 9:00 - 3:30 SC80408-AGO2
  8/4 - 8/8 Irvington Irvington H.S. 9:00 - 2:30 SC80408-IRV
8/11 - 8/15 Chappaqua2 Bell School 9:00 - 3:30 SC81108-DLEE2
8/11 - 8/15 Armonk8 St. Pat's Church 9:00 - 3:30 SC81108-SPC
  8/18 - 8/22 Armonk4 St. Pat's Church 9:00 - 3:30 SC81808-SPC
  8/18 - 8/22 Chappaqua Bell School 9:00 - 2:30 SC81808-CHA
   8/18 - 8/22 "Soccer"5 Chappaqua
  Bell School		 9:00 - 12:00 SC81808A-SOC
   8/18 - 8/22 "Soccer"5 Chappaqua
  Bell School		 9:00 - 2:30 SC81808P-SOC
 8/25 - 8/29 Armonk St. Pat's Church 9:00 - 3:30 SC82508-SPC
  8/25 - 8/28 Catskill Mountains Camp NA-SHO-PA Sleep Away SC82508-SLA
 8/25 - 8/29 Ossining Ossining Community Ctr 9:00 - 2:30 SC82508-OSS

1Daniel Gibson Camp
2David Lee Camp
3 Players Camp (Specialized Camp and Instruction for Highly Skilled Players)
4Shooting Camp
5Super Stars Soccer 
6Five-Star Basketball Camp (Specialized Camp and Instruction for Highly Skilled Players), Includes Five-Star Backpack
7Andray Blatche Camp
8Games Camp

By submitting this form and payment, you agree to our Terms and Conditions and to the following Waiver of Liability:

I understand that injuries are inherent with a sport activity.  In the event that an injury occurs to myself or a family member, I agree not to hold Teaches Basketball Camps LLC and the sponsor, and any person connected with Teaches Basketball Camp LLC or the sponsor liable for any and all claims for bodily injury and property damage arising from participation in Teaches Basketball program or camp.
(c) 2004 Teaches Basketball Camps, LLC