Nike Championship Basketball Clinics Registration Form

Spring 2010 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.

CREDIT CARDS ACCEPTED FOR ONLINE REGISTRATIONS ONLY. NO SCHOOL PO's ACCEPTED NO PHONE CONFIRMATIONS OF REGISTRATON

Register me for the following clinic(s): at $120.00 per coach (U.S.)/$125.00 (Canadian) at the door $145.00 per coach (U.S.)/$150.00 (Canadian)

	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.