Can-Am Hoops Classic Registration Form

You may fill out this secure online form (read security info) and submit it here; you may print it, fill it out, and mail it to the address at the bottom of the form; or you may fax it to: Center for Lifelong Education and Recreation, (315) 267-3350.

This form uses an automatic totaling script. If you have difficulty reading or submitting this form, the reason may be that your browser does not support forms or scripts. If you have questions or would like to request a paper copy of the registration form, you may call (315) 267-2167 or e-mail camps@potsdam.edu.

Name of team:

Grade Level: (oldest player's grade as of 9/1/12)
        6   7   8   9   10   11    12

Gender:
      Boys
      Girls

Team Type:
      School
      AAU/Club

Level of Play:
       A
       B

Contact Information

Contact Name (Required):

E-mail (required):

Street

 

City 

State 

Zip 

Work Phone:

Home Phone:

Cell Phone:

Coach's Name:

Coach's Phone:

How did you hear about the tournament?

Does your team require housing on campus?
    No
    Yes

 

Please Indicate date and arrival time:

Boys Tournament

Girls Tournament

Friday, May 31

4:00-6:30 p.m.

Friday, June 7

4:00-6:30 p.m.

 

6:30-8:30 p.m.

 

6:30-8:30 p.m.

 

8:30-11:00 p.m.

 

8:30-11:00 p.m.

Saturday, June 1

7:00 a.m.-12:00 p.m.

Saturday, June 8

7:00 a.m.-12:00 p.m.

Payment Information

Cost of CAN-AM Hoops Classic

$

Full amount that will be charged on your credit card:
The full entry fee in U.S. funds is due with this application.

$




Center for Lifelong Education and Recreation
389 Van Housen Ext., SUNY Potsdam
44 Pierrepont Ave., Potsdam, New York 13676
phone: (315) 267-2167 fax: (315) 267-3350
e-mail: camps@potsdam.edu

We have the utmost respect and concern for your privacy and security. For this reason SUNY Potsdam is encrypting the transmission between our server and your browser using Secure Socket Layer (SSL) technology, while viewing and submitting information on this form.

The security features built into your browser in conjunction with our secure server, work to protect your Internet communications with server authentication, privacy using encryption, and data integrity.

Read the Center for Lifelong Education and Recreation refund policy.