Register for the Camp

CELEBRATING 9 YEARS OF SUCCESS WITH A $99 REGISTRATION FEE!

Registration involves two steps. First, please complete the registration form below, and provide all requested information. Please complete one form for each camp participant. This will allow us to begin the registration process.

A spot at the camp will not be reserved, however, until we receive a check in the amount of $99 per each participant. This fee covers the cost of camp participation in session specified. All participants will also receive a Kimrossi Taylor's Basketball Camp t-shirt and an award in recognition of their participation. Please make your check(s) payable to "Kimrossi Taylor's Basketball Camp" and mail to:

Kimrossi Taylor's Basketball Camp
P.O. Box 6033
Broadview, IL 60155

If you have any questions please feel free to email us at email@kimrossibasketballcamp.com or call (630) 771-1915.

Participant's Name *
School
Grade
Date of Birth
Gender * Male Female
Shirt Size
Height (Ex: 5'4")
Parent's Name *
Daytime Phone * – – Ext.
E-Mail Address *
Address 1 *
Address 2
City *
State *
Zip Code *
Emergency Contact
Emergency Phone * – – Ext.
Please provide additional comments below.