Girls' Basketball Camps
Contact: Molly Jones at (812) 599-3287 or jonesm@hanover.edu

Parent/Guardian Information

Camp Sessions

Payment / Session

Waiver: The undersigned parent/guardian understands that the camper will be engaging in physical activity during the program which contains the inherent risk of physical injury and assumes the risk and releases Hanover College and its directors/employees from any and all liability for personal injury arising out of the camper's participation in the camp program. I hereby grant permission for my child to attend the Hanover College Camp.

Payment Information

MasterCardVisaDiscover
Card Number
Expiration
/
CSC
Signature and digits from card #123
On most cards, the 3-digit card security code (CSC) is on the back, to the right of the signature.
XXXX XXXXXX XXXXX1234
On American Express cards, the 4-digit card security code (CSC) is on the front, to the top-right of the card number.

Payment Service Fee

An additional service fee of $0.00 will be added to the payment amount.

Payment Authorization

Please be sure to review all your information for accuracy before submitting this form.