REQUIRED - PHYSICIANS STATEMENT

To participate in the Summer 2018-2019 Steve Prohm Basketball Camps the basketball office must have a completed Physicians Statement of Health on file.  Note - campers in grades 7-12 may use a copy of their 2018-2019 school physical in place of the form below.

You may bring this with you to camp. Or, complete the form and return to the basketball office, at:

Steve Prohm Basketball Camps
Sukup Basketball Complex
1011 S. Dakota Avenue
Ames, IA  50011

Or By Fax To: 515-294-9667