BasketballCoach.com: Nike Championship Basketball Clinics Registration Form

Spring 2007 Clinics - REGISTRATION INFORMATION

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.

*** Please note - Video recording of any clinic session is NOT allowed. Professional video recording is being performed by Championship Productions, Inc. and will be available soon after the clinic is complete. ***
Register me for the following clinic(s): at $110.00 per coach (U.S.)/$105.00 (Canadian)
at the door $135.00 per coach (U.S.)/$129.00 (Canadian)

	Chester, WV	_________ # of Coaches	X $110 per Coach =	$___________
	Myrtle Beach, SC	_________ # of Coaches	X $110 per Coach =	$___________
	Springfield, MA	_________ # of Coaches	X $110 per Coach =	$___________
	Des Moines, IA	_________ # of Coaches	X $110 per Coach =	$___________
	Las Vegas, NV	_________ # of Coaches	X $110 per Coach =	$___________
	Robinsonville, MS	_________ # of Coaches	X $110 per Coach =	$___________

Name(s) _____________________________________________________
School __________________________	City ________	State __	ZIP ____
To be put on future mailing list: Name _____________________________________________________
Email Addresss _____________________________________________________
Address __________________________	City __________	State __	ZIP ____
Print this page or download the Spring 2008 brochure and mail with your check to: Championship Basketball Clinics, 5645 Woodsmore Drive, Solon, Ohio 44139
CONFIRMATION OF REGISTRATION WILL BE SENT ONLY IF REQUEST IS ACCOMPANIED BY A SELF-ADDRESSED STAMPED ENVELOPE.