Spring Elite Basketball Shootouts-2018
College Exposure Application-
The Big 60

 June 3
at Lancaster Bible College
(901 Eden Rd, Lancaster, PA 17601

this is for individual players, not teams-
Three games live streamed
Three placed on YOUtube
Scouting reports published

-Check our website- www.pahoops.org -for the team rosters, player numbers and schedule
two days before the event

Players accepted on a first come basis.
60 boys, 60 girls: "THE BIG 60"
See comparison rubric

First Name ____________________________Last Name ________________________________ Gender  _______

Address _______________________________________

City _______________________________              State ________        Zip code   ___________

Print email address  _______________________   Home phone ____________________    Birth date ____________

Height _______  Weight ______                                 Graduation year (circle one)      ___2018   ____2019 ____2020     ____2021   ____2022

High School ______________________________________      city__________________________________ state  ______

Parent Consent and Medical Information
(Players cannot participate unless they have medical insurance).-Players cannot participate unless this section has been completed and signed by the parent or guardian. I understand that the Showcase and the host venue does not carry medical or accident insurance for the participants, and I hereby certify that my child is covered by personal insurance or is included in a policy which I have in place. I authorize routine medical care for my child by the Shootout trainer. I further authorize any treatment considered routine to be referred to a local physician or to an emergency room at my expense. I further authorize and provide my consent and permission for my child to participate in this event.

Insurance Company ____________________ Policy _____________ Group # ________

Name of Policy Holder _____________________________ Home Phone __________

Signature of parent/guardian _________________________ Cell phone _____________

Payment choices       Check one: :           ____check           ____ money order         ____ credit card on Pay Pal 

June 3
___________   Boys Shootout,: Early registration  for  June 3- $128.00.  Late registration after May 18,  $140.00.   

Girls Shootout,
:  Early registration  for  June 3- $128.00.  Late registration after May 18,  $140.00.     

Send your check or money order with your application (Make your check payable to: Bill Gaffey,)  and send your completed application to Bill Gaffey    417 Bolton Drive, Harrisburg, PA   17112 -or pay by credit card on our Pay Pal (click on the BUY NOW button) -

Player's Name