ATTENTION:
It will be the responsibility of the Clinic Attendees to have the pre-registration form and payment received no later
than the deadline date of the particular clinic they want to attend or they will have to pay at the door registration
fee on site. Also, any coach who pays the pre-registration fee and does not attend or any problem with payment,
will have to pay a $25.00 processing fee.
| Pittsburgh, PA | _________ # of Coaches |
X $120 per Coach ($125 Canadian) = | $___________ | |
| Myrtle Beach, SC | _________ # of Coaches |
X $120 per Coach ($125 Canadian) = | $___________ | |
| Wisconsin Dells, WI | _________ # of Coaches |
X $120 per Coach ($125 Canadian) = | $___________ | |
| Las Vegas, NV | _________ # of Coaches |
X $120 per Coach ($125 Canadian) = | $___________ | |
| Tunica, MS | _________ # of Coaches |
X $120 per Coach ($125 Canadian) = | $___________ | |
| Verona, NY | _________ # of Coaches |
X $120 per Coach ($125 Canadian) = | $___________ |
| Name(s) _____________________________________________________ | |||
| School __________________________ | City ________ | State __ | ZIP ____ |
| To be put on future mailing list: Name _____________________________________________________ | |||
| Email Addresss _____________________________________________________ | |||
| Address __________________________ | City __________ | State __ | ZIP ____ |
| Print this page and mail with your check to: Championship Basketball Clinics, 5645 Woodsmore Drive, Solon, Ohio 44139 | |||
| No phone confirmations of registration. Confirmation of Registration will be sent only if request is accompanied by a self-addressed stamped envelope. All online registrations will receive e-mail confirmation. | |||
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