Basketball Camp Registration Template

Athlete Information
LoveSports360

Registration Form
Registration*

Fall Basketball Clinic Ages 3-15
Athlete Name*

First NameLast Name
Does the athlete have any allergies or prescribed an inhaler? If yes, please list allergies and inhaler instructions.*
Age*
Gender*

MaleFemale
BASKETBALL SKILL LEVEL*

BEGINNERMODERATEADVANCEDPROFFESSIONAL
JERSEY SIZE *(NOT INCLUDED WITH CLINICS)

EXTRA SMALLYOUTH SMALLYOUTH MEDIUMYOUTH LARGEYOIUTH EXTRA LARGEOther
Parent/Guardian Information
Name*

First NameLast Name
Relationship*
Contact information *
Cell Phone
Address*

Street Address

Street Address Line 2

CityState

Zip Code
E-mail*
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.
Parent/Guardian Signature

First NameLast Name

Registration Payment Selection:*

Fall Basketball Clinic Ages 3-15$150.00

Enter coupon

Total $0.00

Payment Methods

Credit Card

Afterpay

Should be Empty:

Athlete Information

LoveSports360

Parent/Guardian Information

Payment Methods