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

March 25 and/or June 3
at Lancaster Bible College
 
(901 Eden Rd, Lancaster, PA 17601
 

Click here to print in a pdf

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)    ____2017    ___2018   ____2019 ____2020    

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 

__________

___________   
Boys Shootout,: For March 25- $128.00   
___________   Girls Shootout,: For March 25   $128.00   
   


___________   Boys Shootout,: For June 3- $128.00  
 
___________   Girls Shootout,
: For June 3   $128.00       
 

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) -