basketball shootouts by HOOPS
this is for individual players, not teams


1-the Elite College Exposure Shootout,  Sunday October 10, 2010 -for boys and girls
Penn State-Harrisburg University-777 West Harrisburg Pike · Middletown, PA 17057
 -Hotels for the Penn State Shootout HERE 
 


for boys and girls
 Players have attended from West Virginia, Virginia, Delaware, D. C., Maryland, Ohio, New York,
North Carolina, Michigan, New Jersey, Pennsylvania, Massachusetts, Connecticut, New Hampshire, Michigan and Canada.

Print this form, fill it out, and mail it.

Name

Address

City                                                State                  Zip code

Email address

Home phone

Height                  Weight

Birth date

Graduating year (circle one)  2011,  2012,  2 013,  2014

High School

City                                                  State            ZIP



High Coaches Name _______________________________

Any other  Coach    _______________________________

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 Shootout and the host school do not carry medical or accident insurance for the participants, and I here by 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 _____________

 

 

Early registration: $115.00  to Sept 24, 2010
 Late registration:$130.00 from Sept 25 to the event

Schedule
Boys: Register 8:00-8:30
 first boy's games 8:30 am
Girls: Register 11:00-11:30
 first girl's games 12:15


You can print off this application, fill it out and send it with your check, or if you want, send your name and address and we will mail you an application.

call 717-545-0872------email pahoops@verizon.net

 

                  
 If you are attending the Pennsylvania Shootout 

Print this form, fill it out, and mail it.
    Players in grades 9, 10, 11. and 12 are eligible to participate.
Check one:

____________ $115.00  Boys Shootout, early registration
____________ $115.00  Girls Shootout,  early registration,
___________   $130 Late registration fee, Boys
___________   $130 Late registration fee, 

No refunds
Make your check payable to: Bill Gaffey
 and mail to: Basketball Shootouts,
c/o Bill Gaffey
                    417 Bolton Drive, Harrisburg, PA 17112
call 717-545-0872------email pahoops@verizon.net

 

 

 

 

 

-What is a Shootout HERE        

- past shootout results found HERE                        
                                 
-Hotels for the Penn State Shootout HERE

-Directions to the shootout  HERE

-Examine the results from Oct 2009 prepared for colleges, click HERE