Basketball Camp Registration Template

Basketball Camp Registration

Register now to receive important information regarding camp, lock in your child’s photo shoot time and secure your child’s camp shirt.
Cost: $110

Money will be taken at the door on the first day of camp. There will be no online payments. Cash, checks and debit/credit cards will be accepted.
Camp Dates:

May 27th- May 30th
Camp Times:

8:30- 12pm (Campers can be dropped off as early as 8am)
Athlete Information
Camp Ages:

4-14 years of age
Athlete's Name*

First NameLast Name
Grade*
Gender*

MaleFemale
Camper T-Shirt Size
Parent/Guardian Information
Name*

First NameLast Name
Home Number

Area CodeNumber
Cell Number*

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

First NameLast Name
Relationship*
Phone Number*

Area Code Number
Alternative Phone Number

Area CodeNumber
Is the athlete prescribed an inhaler? If yes, please explain any instructions.*
Informed Consent and Acknowledgement

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 risk 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 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.
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.
E-Signature*

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Basketball Camp Registration

Cost: $110

Camp Dates:

Camp Times:

Athlete Information

Camp Ages:

Parent/Guardian Information

Emergency Information