HAKEEM OLAJUWON ‘CITY OF BIRMINGHAM ROCKETS’ INTERNATIONAL SUMMER CAMP 2022 Registration Form

We are pleased to confirm that our prestigious and well renowned Hakeem Olajuwon City of Birmingham Rockets Summer Camp 2022 will take place from Monday 8th until Friday 12th August!

Following the fabulous feedback from our 2021 camp we are pleased to announce that we will be returning to Bromsgrove Private School in 2022 for our sixth annual Hakeem Olajuwon Summer Camp. Attendees from 2021 will know just how incredible the facilities are at this venue!

All of the high class facilities for the camp are within short walking distance on the school campus. Rooms are en suite with on-site catering providing three wholesome meals each day. The school has a fabulous two court sports centre, swimming pool, tennis courts, lecture theatres, sports science facilities and great outdoor spaces which will all be utilised, adding to the high quality experience of camp.

On court activity will contain up to 12 hours of basketball each day with a host of incredible coaches joining us from around the world.

Our 2022 price for residential campers has been frozen at £475 whilst the cost to attend on a non-residential basis is £350. These fees include a reversible camp kit, a 2022 camp t-shirt and drawstring camp bag. In addition, all campers will receive lunch, whilst residential campers will also receive breakfast and evening meals.

We urge you to sign up as soon as possible to secure your place at NBA Legend Hakeem Olajuwon’s 2022 Summer Camp with us here at City of Birmingham Rockets.

Summer Camp is always a memorable week, and 2022 promises to be no different! Sign Up soon and secure your place!

Venue: Bromsgrove Private School, Worcester Rd, Bromsgrove B61 7DU

Date: Monday 8th – Friday 12th August 2021

Ages: 11-18 years old

Genders: Boys & Girls

Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

What Country do you live in? *

Phone Number *

Area Code Phone Number

Email Address *

example@example.com

Date of Birth *

Date

Age *

Height *

Weight *

School Year *

Instagram Handle

Shirt Size (select youth or adult): *

Favourite Position *

Point Guard (PG) Shooting Guard (SG) Small Forward (SF) Power Forward (PF) Center (C)

Are you a Rockets Player *

U12 U14 U16 U18 No, I don't play for COB ROCKETS

Club played for *

Allergies *

Current Medications *

Previous Injuries *

Parent or Guardian *

First Name Last Name

Phone Number *

Area Code Phone Number

Emergency Contact

First Name Last Name

Phone Number

Area Code Phone Number

Relationship

Acknowledgment, Liability Waiver & Consent *

I, the undersigned parent/guardian of the above camper, do hereby grant the authority to the staff of the City of Birmingham Rockets Basketball Club to apply judgment in regards to medical assistance in the event of an accident, injury, or illness if they are unable to contact the parent or guardian. I authorise first aid, a medical or surgical diagnosis and treatment where necessary. I, the undersigned, release the City of Birmingham Rockets Basketball Club and any of its coaches, staff, manager, and/or any parent for any responsibility in case of accident, illness, or injury during my child’s time at camp.

CONSENT FOR THE USE OF PHOTOGRAPHS/VIDEO AND NAMES *

I understand that the Club coaches may at times be using video recording to assist in technical and gameplay analysis and that opposing clubs may also wish to video for the same purposes. I understand that photographs may be taken and used on our website and social media platforms with the use of the names of those in the images. I will inform the Club if I have an objection and do not to be photographed for this purpose. I consent to City of Birmingham Rockets Basketball Club photographing and videoing all basketball activities and also using full names on our website.

Date *

Date

Parent or Guardian Printed Name *

My Products *

Residential Campers £ 475.00

Residential Campers Deposit (Non- Refundable) £ 150.00

Non-Residential Campers £ 350.00

Non-Residential Campers Deposit (Non- Refundable) £ 100.00

Total £ 0.00

Credit Card Details
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Card Expiration

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Parent or Guardian Signature *

HAKEEM OLAJUWON ‘CITY OF BIRMINGHAM ROCKETS’ INTERNATIONAL SUMMER CAMP 2022

Camper Information

Medical Information

Parent or Guardian Information

Emergency Information (If different from above)