Wufoo

Online Registration Form

You may register online and mail your check, or download the brochure, fill it out and mail it with your check. It's up to you!

Click here to read our refund policy.
Multiple session and sibling discount available.
Please provide up-to-date physical.

Make checks payable to:
Premier Basketball USA, Inc.
160 W. Camino Real #251
Boca Raton, FL 33432

Parent's Name * First Last
Parent's Name First Last
Camper Age *
Camper Name * First Last
Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Registering for the: * June 23-27 Boys Camp ($200) June 30-July 3 Girls Special Skills & Shooting Camp ($125) July 7-11 Girls Camp ($200) July 14-18 Co-Ed Camp ($200) July 21-25 Co-Ed Camp ($200) August 4-8 Co-Ed Camp ($200)
Home Phone * - (###) - ### ####
Cell Phone - (###) - ### ####
Work Phone - (###) - ### ####
Email *
Do Not Fill This Out