FDPR/CAMP25 BASKETBALL LEAGUE
Ages 4-14
Camper's Full Name
*
First Name
Last Name
Camper's Age
*
Gender
*
What school does your child attend?
*
Does your child have a sibling in the Basketball League? If so, please provide the siblings name and age.
*
How many years of organized basketball league experience does your child have?
*
Camper's T Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X Large
Adult 2X Large
Has your child participated in a prior Camp25 event?
*
Grade
*
Please Select
PRE-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
How tall is your child?
*
On a scale from 1 to 10, 10 being the highest what would you rate your child's athletic ability?
*
Please Select
one
two
three
four
five
six
seven
eight
nine
ten
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell phone number (Camp25 will use this phone number to contact you concerning all league logistics)
*
Please enter a valid phone number.
Email
*
example@example.com
Emergency Contact' Name
*
First Name
Last Name
Relationships (example - mom, dad, uncle, aunt, etc..)
*
Emergency Contact's Phone Number
*
Please enter a valid phone number.
Informed Consent and Acknowledgment, By signing this form, I understand that I have registered my child to participate in Camp25 activities. Participation is completely voluntary, and I understand that I assume all risk and accept responsibility for all inquiries or permanent loss that may be incurred while participating. I hereby attest and verify that I have been advised of the potential risks. I am granting permission for her/him/they to participate despite possible risks, to include all risks associated with pandemic or COVID-19. I further release and indemnify Camp25 and Franklin Department of Park and Recreation, all of volunteers, agents, or any other related entities of all responsibilities to include any expenses regarding care should my child get injured. I understand and agree that Camp25 is not responsible for property that is lost, stolen, or damaged. I further understand that participation in Camp25 activities may result in a camper being interviewed, photographed, or video-recorded which would result in my child's photo being posted on Camp25 website, social media, and other media websites for promotion of the organization.
*
My Products
*
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FDPR/CAMP25
$65.00 Basketball Registration Fee + $5.00 Paypal Registration Fee
$
70.00
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