Register For Camp

On this site, you can register online for the camp. Online registration only involves the application. The Medical form must be sent in by mail, along with your deposit. Complete the first part of registration so that your information will be on file, and the remaining medical form and deposit will be expected.

* Denote Required Fields. Failure to complete some of these fields may result in rejection of registration.

Name*:
Address*:
City*: State*: Zip Code*:
Home Telephone(no dashes)*:
Parent Daytime Telephone(no dashes)*:
Fax(optional):
Email:
Age At Camp*: Height(i.e. 5'0")*: Weight(lbs.)*:
School Name*:
Coach's Name*:
Position*:
Gender*: Male Female
Birthdate*: Year:
Parent Name*:
Parent E-mail*:

Packages
Please Choose (You may choose more than one)*:
1. July 21 - July 25, 2008 at Holy Cross High School....$170.00
2. July 28 - Aug. 1, 2008 at Holy Cross High School....$170.00
3. Insurance - per week....$10.00

After submitting this form, please send in the medical form (found here) along with a non-refundable deposit of:

$100.00 deposit for 1 week
$140.00 deposit for 2 weeks

Enroll 2 weeks.......Take $20.00 off of total
Make checks payable to:
Ken Faulkner Basketball, Inc.
901 Second Street
Delanco, New Jersey 08075

IMPORTANT: Balance is due on or before July 1st, 2008

For Further Information call:
856-461-8805
856-461-1577 (Fax)
pafkwf@aol.com (email)