Siena Heights University Men's Basketball Team Shootouts Registration Form

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This form is a record kept on file by the Siena Heights University men's basketball program to be used as a registration form for the Siena Heights University men's basketball camps.

You must complete  ALL  required questions and answer the captcha at the bottom of the form in order for it to submit successfully. Once the form is completed correctly, you will be directed to a confirmation page. If the page reloads back to the form there will either be a notification that you missed one of the required questions or you did not successfully complete the captcha. Please make sure that you correct whichever issue before you click submit again. A confirmation email will be sent to the email address you provide on the form, provided that it was submitted correctly.

If you have any questions or are having difficulty completing this form, please contact Siena Heights men's basketball assistant coach, Kyle Capps at kcapps@sienaheights.edu.

Street, City, State, Zip Code
Please check the camp session(s) you plan to attend: *

Please send a check for $175.00 (per one-day session) to reserve your space in the tournament. Entries will be accepted on a first come basis. Make checks payable to  Siena Heights University Men's Basketball and mail to the address below. Make sure to include your school name and dates with your check. Email kcapps@sienaheights with any questions.

Siena Heights University - Men's Basketball
% Coach Joe Pechota
1247 E. Siena Heights Drive
Adrian, MI 49221

* required field