Junior Phenom Registration

Player's First Name:

Player's Last Name:

Address:

City: State: Zip Code:

Phone Number:

Birthday:

Height: Weight:

Graduation Year (grade): 2014 (8th grade) 2015 (7th grade) 2016 (6th grade) 2017 (5th grade)

Primary Position Played: Point Guard Shooting Guard Forward Post/Center

School:

AAU or other team:

Jersey Size (These are adult sizes): Small Medium Large X-Large

Parent or Guardian Name:

E-Mail:

Cell Phone:

Other Phone:

Would you like to receive the Idaho Select Newsletter? Yes
*Newsletter is published twice per month

If you would like us to email camp information to other friends or family, please enter their email address here:

I hereby authorize my child's participation in the Idaho adidas Junior Phenom Camp (IAJPC). I know of no mental or physical problems that may affect my child's ability to safely participate in this camp. I hereby authorize the camp staff to act according to their best judgement in any emergency requiring medical attention. Neither my son nor I will hold IAJPC, Idaho Select Basketball, 3FOR3 Productions, LLC or any of its staff liable for any injuries, illness or expenses incurred while my son is at camp.