2010 Camp Registration Form

   (Put in Address for a Camp brochure)

   After you fill the form out, you will be taken to the payment options page.

E-mail Address: *

Camper Name *

Age

Phone Number

Address

City

Zip Code

Which Session *

How are you paying?

Where did you hear about us?




 By clicking "Subimt" I wish to participate in the college sponsored activities of Miramar Basketball Camp. I understand and acknowledge that these activities, by their very nature, pose the potential risk of serious injury/illness to individuals who participate, I undersand and acknowledge that in order to participate in these activities, I agree to assume liability and responsibility for any and all potential risks which may be associated with participation in such activities.

Unless otherwise advised, I understand that I am responsible for my own transportation to and from the activities and the college assumes no liability for loss or injury resulting from my transportation. Although the college may assist in coordinating the transportation any assistance and/or recommendations provided is not mandatory.

I have no known medical condition which may pose a risk to the health and safety of me or others by participating in the activities. I acknowledge that I have carefully read this Assumption and Acknowledgment

* Required


Testimonials


The coaching staff at Miramar was instrumental to my success and helped me move on to the next level.  They have a great knowledge of the game and you can’t go wrong being taught by the Miramar staff.”

Pat Eveland

Former Alumni Pat Eveland – Named 6th man of the year (2010) in Big West Conference at University of Pacific.