SUMMER BASKETBALL CAMP '25 REGISTRATION FORM Logo
  • EXTRA MILE BASKETBALL NJ

    EXTRA MILE BASKETBALL NJ

    www.extramilebasketballnj.com/summer-basketball
  • CAMP WEEKS AVAILABILITY - NEW JERSEY

    *Out of State (Week 2 & 3 - Snow Valley Basketball School)
  • CAMP PACKAGES AVAILABILITY

  • PARTICIPANT INFORMATION (PLAYER)

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  • PLAYERS CODE OF CONDUCT

    • I will attend practice on time, which means to arrive at least 10 minutes before the start of practice.
    • I will dress appropriately for training, stay hydrated, bring a towel and extra clothes to change as needed.
    • I will follow the rules of the game and training, will be a good sport and demonstrate leadership in integrity.
    • I will give 100% effort, will not cut corners, will not give up on myself, my teammates or my coach.
    • I will control my temper and emotions. I acknowledge that fighting, “mouthing-off” and cussing is strictly prohibited.
    • I will accept responsibility for my own performance and behaviour.
    • I will respect my coach, my teammates and game officials. I will treat everyone with respect regardless of race, sex, social status, disability, religion, identity, or skill level.
    • I will play for the enjoyment of the game.
    • I will be a positive role model for my teammates, coaches, school and community.
    • I will respect the use of training aids and facility equipment.
  • GUARDIAN / PARENT INFORMATION

  • ACTIVITY WAIVER FORM

  • IN CONSIDERATION of being allowed to participate in the Activity and other good and valuable consideration, the receipt of which is hereby acknowledged, I (Guardian/Parent Full Name) * of   * (Participant Full Name), agree with James Ofei Ankra-Badu of Extra Mile Basketball NJ LLC (the Activity Provider) to the following:

  • DETAILS OF ACTIVITY

    1. Scheduled from date of participation to the end of the selected date of participation, the Participant will be participating in the following activity: Summer Basketball Camp '25 (the Activity) provided by the Activity Provider. 

    CONSIDERATION

    2. Being of lawful age and in consideration of being permitted to participate in the Activity, the Participant releases and forever discharges the Activity Provider, the Activity Provider's spouse, heirs, executors, administrators, legal representatives, and assigns from all manner of actions, causes of action, debts, accounts, bonds, contracts, claims, and demands for or by reason of any injury to person or property, including injury resulting in the death of the Participant, which has been or may be sustained as a consequence of the Participant's participation in the Activity, and not withstanding that such damage, loss, or injury may have been caused solely or partly by the negligence of the Activity Provider.

     3. The Participant understands that the Participant would not be permitted to participate in the Activity unless the Participant signed this Waiver.

    CONCURRENT RELEASE

    4. The Participant acknowledges that this Waiver is given with the express intention of effecting the extinguishment of certain obligations owed to the Participant by the Activity Provider, and with the intention of binding the Participant's spouse, heirs, executors, administrators, legal representatives, and assigns.

    FITNESS TO PARTICIPATE

    5. The Participant acknowledges to the Activity Provider that the Participant does not have any physical limitations, medical ailments, or physical or mental disabilities that would limit or prevent the Participant from participating in the Activity. If required, the Participant will obtain a medical examination and clearance.

    FULL AND FINAL SETTLEMENT

    6. The Participant acknowledges and agrees with the Activity Provider that: (1) the Activity Provider has given the Participant sufficient time to carefully read this Waiver, (2) the Participant has been given the opportunity and has been encouraged to seek independent legal advice prior to signing this Waiver, (3) the Participant fully understands the risks and claims that the Participant is waiving to participate in the Activity, (4) the Participant is freely and voluntarily executing this Waiver, and (5) the Participant is forever prevented from suing or otherwise claiming against the Activity Provider for any property loss or personal injury that the Participant may sustain while participating in or preparing for the Activity.

    GOVERNING LAW

    7. This Waiver will be governed by and construed in accordance with the laws of the State of New Jersey.

    RELEASE OF LIABILITY
    8. Although the safety of all sport activities is the primary concern, indoor sport activities at Sport Center's facilities may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the Sport Center and the persons in charge.

  • IN WITNESS WHEREOF the Guardian/Parent of Participant has duly affixed their signature on this date:    Pick a Date*      *   
        

  • GUARDIAN/PARENTS PERMISSION FOR EMERGENCY TREATMENT 

    9. In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child (Participant). I give consent for the facility to secure any and all necessary emergency medical care for my child (Participant).

  • IN WITNESS WHEREOF the Guardian/Parent of Participant has duly affixed their signature on this date:    Pick a Date*      *   
        

  • 48-HRS NOTIFICATION POLICY

    *PLEASE READ CAREFULLY*

    Gym rental policy requires us to give at least a 48-hour cancellation notification for us to have a chance to carry-over our gym rental credit to a different day of practice. Therefore if Participant need or will be absent for practice, please notify us via a text or call [551-242-9474]. Cancellation notification with less than 48-hours will be deemed unapplicable and ineffective for a refund.

     
  • REFUND POLICY

    *PLEASE READ CAREFULLY*

    In order to request a refund, a written email should be sent to extramilebasketballnj@gmail.com with a detailed explanation for the request. After the request has been received, the Activity Provider will review and make a decision to move forward with the refund and how much of the cost will be refunded. Refund eligibility and cost will be based on the following:

    • All refunds are subject to $20 processing fee and must allow 5-7 business days for refund to be completed.
    • In the event that the Child (Participant) is medically unable to participate in the sport, a note from a doctor on letterhead indicating that the participant cannot participate is required. Guardian/Parent will receive a refund of the cost of the remaining number of sessions, minus a $20 processing fee.
    • In the event of moving out of state or county, Guardian/Parent will receive a refund of the cost of the remaining number of sessions, minus a $20 processing fee.
    • Cancellation notification with less than 24-hours is not eligible for refund.
  • MEDIA CONSENT AND RELEASE FORM

    I, the Parent/Guardian of Participant (“My Child”), hereby grant James Ofei Ankra-Badu of Extra Mile Basketball NJ LLC (the "Activity Provider") the absolute right and permission to use photographic portraits, pictures, digital images or videotapes of My Child, or in which My Child may be included in whole or part, or reproductions thereof in color or otherwise for any lawful purpose whatsoever, including but not limited to use in any publication or websites, without payment or any other consideration.I hereby waive any right that I may have to inspect and/or approve the finished product or the copy that may be used in connection therewith, wherein My Child’s likeness appears, or the use to which it may be applied.I hereby release, discharge, and agree to indemnify and hold harmless James Ofei Ankra-Badu of Extra Mile Basketball NJ LLC (the "Activity Provider") from all claims, demands, and causes of action that I or My Child have or may have by reason of this authorization or use of My Child’s photographic portraits, pictures, digital images or videotapes, including any liability by virtue of any blurring, distortion, alteration optical illusion, or use in composite form, whether intentional or otherwise, that may occur or be produced in the taking of said images or videotapes, or in processing tending towards the completion of the finished product, including publication on the internet, in brochures, or any other advertisements or promotional materials.I represent that I am at least eighteen (18) years of age and am fully competent to sign this Release.

    READ IT CAREFULLY AND BE CERTAIN YOU UNDERSTAND IT BEFORE SIGNING BELOW.

  • IN WITNESS WHEREOF the Guardian/Parent of Participant has duly affixed their signature on this date:    Pick a Date*      *   
        

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