Summer Slam Basketball Camp 2026

Registration Form

Brian Myers, New England Storm HGSL Elite Head Coach and recruiter, brings years of coaching experience to Summer Slam. He previously served as Head Coach at Greater Lowell Tech and Dracut High School and coached a Dracut travel team from 5th through 8th grade, finishing their final season with a championship win. He also coaches in a local summer recreation basketball program. Summer Slam players will enjoy a week of skill development, competitive games, and instruction from experienced coaches and guest speakers, along with a few fun surprises. The camp is held in a fully air-conditioned facility, with staff supporting players of all skill levels. Family and team discounts are available, and daily lunch and drinks are included.
Athlete Information
Child #1

First NameLast Name
Gender - Child #1
Entering Grade (2026 - 2027)- Child #1
Birthday - Child #1

MonthDayYear
Date
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Child #2

First NameLast Name
Gender - Child #2
Entering Grade (2026 - 2027) - Child #2
Birthday - Child #2

MonthDayYear
Date
YesNo
Tell us more about the allergies or medical conditions for Child #2.
YesNo
Child #3

First NameLast Name
Gender - Child #3
Entering Grade (2026 - 2027) - Child #3
Birthday - Child #3

MonthDayYear
Date
YesNo
Tell us more about the allergies or medical conditions for Child #2.
YesNo
Child #4

First NameLast Name
Gender - Child #4
Entering Grade (2026 - 2027) - Child #4
Birthday - Child #4

MonthDayYear
Date
YesNo
Tell us more about the allergies or medical conditions for Child #4.
Parent/Guardian Information
Name*

First NameLast Name
Relationship*
Phone Number*
Alternate Phone Number
E-mail Address*
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Relationship*
Phone Number*
Alternate Phone Number
Payment Information

Registration fees accepted via Credit, Debit, ApplePay, Google Pay and AfterPay.

Child #1 Registration

$190

Sibling Registration

All siblings receive a $50 discount on the registration fee.

$140 Quantity

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Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Afterpay

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared for the Summer Slam Basketball camp. In exchange for the acceptance of said child’s candidacy by Summer Slam Basketball Camp, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Summer Slam Basketball Camp. and all its coaches, staff, and representatives from any and all liability for injuries to 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 Summer Slam Basketball Camp, 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.
Medical Release and Authorization

As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the {Organization} . and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
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.
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Registration Form

Athlete Information

Parent/Guardian Information

Emergency Contact Information

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