Hood House of Hoops Camp – Warren and Denyse Mackey Foundation

Please complete this form to authorize participation and register campers for the July 7th - July 10th camp.

Name(Required)

First Last

Parent or Guardian Name

Gender(Required)

Male

Female

Email(Required)

Enter Email Confirm Email

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Insurance Provider(Required)

Your insurance carrier that covers the camper

Insurance Policy Number(Required)

I authorize camp officials to call this number in case of emergency(Required)

Emergency contact during the camp hours: 9:00a -2:00p

I authorize the person named below to pick my camper up

First Last

Your camper will be released to this individual

Phone number of the person authorized to pickup my camper

This person will be contacted if late for pickup

Hoods House of Hoops Basketball Camp 2025