Seminar Registration
College Recruiting Seminar
Sponsored by Hoop Mountain and the Columbia Ravens
February 14, 2010
1-4PM
Church at Covenant Park
4550 Centennial Lane
Ellicott City, MD 21042
Any questions please call Larry at 443-564-8300
or email larry.hoopmountain@comcast.net

Please pre register since we have limited seating and we can guarantee admittance
Student First Name:
Student Last Name:
Parent First Name:
Parent Last Name:
Address Street 1:
City:
State:
Zip Code: (5 digits)
How many will attend
Student Date of Birth:
Contact Cell Phone #
Home Phone #
Parent email:
Student email
Graduation Year:
High School:
Any colleges on radar?: