Basketball Camp Registration Template

35th Annual Saints Basketball Camp

presented by The Great Lakes Basketball Academy
July 14th - 18th, 2025 @ Siena Heights University Fieldhouse, 1247 E Siena Heights Dr., Adrian.

Saints Camp: 9:00 am - 3:30 pm M-Th, 9:00 am - Noon (Friday ONLY)
Camper Information
SELECTION
# of Campers you are Signing UP (must be within the same family)
#1 Camper/Athletes Name

First NameLast Name
#1 Gender
#1 Grade Fall of 2025
#1 Age
#1 Camper/Athlete T-Shirt Size
#1 Photo Release - We may post pics of the days happenings. Is it ok to post your child to our page: https://www.facebook.com/saintsbasketballcamp ?
#2 Camper/Athletes Name

First NameLast Name
#2 Gender
#2 Grade Fall of 2025
#2 Age
#2 Camper/Athlete T-Shirt Size
#2 Photo Release - We may post pics of the days happenings. Is it ok to post your child to our page: https://www.facebook.com/saintsbasketballcamp ?
#3 Camper/Athletes Name

First NameLast Name
#3 Gender
#3 Grade Fall of 2025
#3 Age
#3 Camper/Athlete T-Shirt Size
#3 Photo Release - We may post pics of the days happenings. Is it ok to post your child to our page: https://www.facebook.com/saintsbasketballcamp ?
Parent/Guardian Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number

Area Code Number
E-mail
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Emergency Contact Phone Number

Area Code Number
Is the athlete prescribed an inhaler or have any medical conditions we should know about? If yes, please explain any instructions.
Informed Consent and Acknowledgement

I wish to enroll in the 2025 Great Lakes Basketball Academy Basketball Camp at Siena Heights University, Adrian, MI.

I hereby give my approval for my child’s participation in any and all activities prepared by this organization, during the selected camp. In exchange for the acceptance of said child’s candidacy by this organization. I assume all risks and hazards incidental to the conduct of the activities and release, absolve and hold harmless this organization. All its respective officers, agents, and representatives from any and all liability for injuries (medical and dental) to the said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against the organization. Including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include but are not limited to, the risk of fractures, paralysis, or death.

I also understand that any amount paid for said camp is NON-REFUNDABLE, NON-TRANSFERRABLE, NO EXCEPTIONS. Thank you for understanding.
Confirmation By acknowledging and signing below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature. I also understand that the amount paid is Non-REFUNDABLE.
E-Signature
My Camp Options (For Level Up, click multiple boxes if more than one child)
prevnext( X )
1 Camper - Lunch Included$180.00
Saints Camp Ages 8-13 (up to 7th grade)

1 Camper - Bring own lunch$130.00
Saints Camp Ages 8-13 (up to 7th grade)

2 Campers - Lunch Included$340.00
($20 Discount) Saints Camp Ages 8-13 (up to 7th grade)

2 Campers - Bring own lunch$240.00
($20 Discount) Saints Camp Ages 8-13 (up to 7th grade)

3 Campers - Lunch Included$510.00
($30 Discount) Saints Camp Ages 8-13 (up to 7th grade)

3 Campers - Bring own lunch$370.00
($20 Discount) Saints Camp Ages 8-13 (up to 7th grade)

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

35th Annual Saints Basketball Camp

July 14th - 18th, 2025 @ Siena Heights University Fieldhouse, 1247 E Siena Heights Dr., Adrian.

Camper Information

Parent/Guardian Information

Emergency Information

My Camp Options (For Level Up, click multiple boxes if more than one child)

Payment Methods