Questions - Email: ddoyle@internationalsport.org or Call 860-233-3500 x2296
Application

Personal Information

*First Name Middle Initial *Last Name

*Date of Birth *Gender

*Age (as of 7/1/12)

*Grade (as of 9/1/12) *Height *Weight

*Address


*City *State *Zip Code

*Home Phone Cell Phone *E-Mail

*T-shirt Size: Adult: sm med lrg XL Child: sm med lrg


Choose Session
(click the name of each camp for more information including prices)

Camp Renaissance:
Session 1 (June 25-July 6): Session 2 (July 9-July 20):

KO Skills Basketball Clinic:
Session 1 (July 23-27): Session 2 (July 30-August 3): Session 3 (August 6-10):

KO Skills High School Basketball Clinic:
August 6-10:

Basketball Skills Development Program:
June 21,28, July 5, 12, 19 and 26: [open to registered campers only at no extra charge.]


Payment

Credit Card Information

*Name on Card:

*Credit Card Type:

*Credit Card Number:
(no dashes or spaces)

*CVV Code:

*Credit Card Expiration Date:   

*Billing Address


*City *State *Zip Code

*Amount to be charged:
(at least half tuition)		 $




*Denotes required field.