Elite '100' Superstar Camp

      Saturday September 25, 2004

       NCAA Certified Event  

 

 

* NOMINATION FORM *

High School and Club coaches who wish to nominate a player must print this form and fax it no later than 

September 22, 2004. Please make sure all Information is legible. Any forms received after the due date will not be taken into consideration.  Event Fees:$105. 00             NOMINATED BY:
PLAYERS NAME:______________________________      AGE:_______  GRAD.YR:____________
ADDRESS/:____________________________________________________________________________
CITY,STATE,ZIP:_______________________________________________________________________ 
PHONE #:_____  _________________________                      CELL #:_____ ________________________
EMAIL ADDRESS:_____________________________________________________________________
HEIGHT:_______    WEIGHT:__________   POSITION:_____________    GRADE:_____    DOB:________
HIGH SCHOOL:__________________________    H.S. COACH:_________________________________
H.S. COACH PH. #:___ _________________  GPA:________   ACT:____   SAT:________ PSAT:_______
CLUB TEAM:_____________________  CLUB COACH:___________________ PH#:______________
ATHLETIC HONORS / ACHIEVEMENTS:

 

 

 

 

 

 

West Coast Finest Events * 10808 Foothill Blvd. Suite - 160 #307 * Rancho Cucamonga, CA. 91730

909 910-0436 * Fax 909 484-8770 * raymayes@fbcbasketball.com * Website www.fbcbasketball.com/elite100.htm