Basketball Camp Registration Template

Basketball Camp Registration

A registration form must be completed for each child.
Camp Location
Athlete Information
Athlete's Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
School of Attendance*
Gender*

MaleFemale
Parent/Guardian Information
Name*

First NameLast Name
Home Number

Area CodeNumber
Cell Number*

Area Code Number
E-mail*
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*

Area Code Number
Alternative Phone Number

Area CodeNumber
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.*

My Products*

Early bird$125.00

Quantity

Regular$175.00

Quantity

Total $0.00

Basketball Camp Registration