C2C PREPS NATIONAL CAMP PLAYER REGISTRATION FORM
Please note that this is an invitation-only event. Do not complete the registration form until receiving your official invitation to the 2025 Coast2Coast Preps National Camp via text and/or email. To request an invitation, please contact us at coast2coastpreps@gmail.com. We look forward to having you join us on the court soon!
Camper Information
Camper Name
*
Camper Nickname
Camper Date of Birth
*
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Month
/
Day
Year
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Camper Height
*
Please Select
4'0"
4'1"
4'2"
4'3"
4'4"
4'5"
4'6"
4'7"
4'8"
4'9"
4'10"
4'11"
5'0"
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'0"
6'1"
6'2"
6'3"
6'4"
6'5"
6'6"
6'7"
6'8"
6'9"
6'10"
6'11"
7'0"
Camper Height
*
Please Select
4'0"
4'1"
4'2"
4'3"
4'4"
4'5"
4'6"
4'7"
4'8"
4'9"
4'10"
4'11"
5'0"
5'1"
5'2"
5'3"
5'4"
5'5"
5'6"
5'7"
5'8"
5'9"
5'10"
5'11"
6'0"
6'1"
6'2"
6'3"
6'4"
6'5"
6'6"
6'7"
6'8"
6'9"
6'10"
6'11"
7'0"
Camper Weight
*
Instagram Username
*
Enter "None" if not available
Age
TikTok Username
*
Enter "None" if not available
City
*
State
*
Please Select
International (Canada)
International (Mexico)
International (outside North America)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Travel Team/Organization
*
School
*
Current Grade/Class
*
Please Select
6th Grade (Class of 2031)
5th Grade (Class of 2032)
4th Grade (Class of 2033)
3rd Grade (Class of 2034)
Players must compete in their current grade division. No participants will be allowed to play up/down at either session. Thank you for your cooperation.
Uniform Size (Reversible Jersey/Shorts)
*
Please Select
YS (Youth Small)
YM (Youth Medium)
YL (Youth Large)
YXL (Youth X-Large)
AS (Adult Small)
AM (Adult Medium)
AL (Adult Large)
AXL (Adult X-Large)
AXXL (Adult 2XL)
Uniform cannot be changed once registration is submitted! Please review carefully (standard sizing).
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Guardian Information (Emergency Contact)
Parent/Guardian Name
*
First Name
Last Name
Relationship To Camper
*
Please Select
Mother
Father
Other
Specify Relationship To Camper
*
Parent/Guardian Cell Phone
*
Format: (000) 000-0000.
Parent/Guardian E-mail
*
example@example.com
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Camper Registration Payment
2024 C2C Preps National Camp Enrollment Dues (select one option below):
*
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( X )
Camper Registration Payment (In Full)
$
399.99
Full Camp Registration (Decline Insurance)
Full Camp Registration (Purchase Insurance)
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Deposit Notice
If you opt for a partial payment (deposit), whether with or without insurance, please understand that the remaining balance payment of $200.00 USD will be due no later than two (2) weeks prior to the respective camp date. We are unable to grant extensions for balance payments. The deposit is non refundable without insurance. Thank you in advance for your understanding.
*
Enter first and last initial to agree/consent
Terms & Conditions
I understand that I have the option to purchase cancellation insurance for this event at this time. I understand that insurance cannot be purchased retroactively. I understand that without the purchase of cancellation insurance, no refunds can be issued for this event. I understand that this insurance is valid for a 100% refund until 10 (ten) days prior to the respective event. I understand that any claims made less than 10 (ten) days prior to the respective event will result in a 25% refund. I understand that claims must be made by emailing coast2coastpreps@gmail.com within the aforementioned timeframes or are otherwise null and void. No exceptions.
*
Enter first and last initial to agree/consent
I understand that my registration is non-transferrable between campers. I understand that my payment cannot be credited toward future events. I agree that I have carefully reviewed my submissions on this registration form and that all of the provided information is accurate.
*
Enter first and last initial to agree/consent
I understand that without limitation, or obligation, my image and/or my child's image may be edited, copied, exhibited, published or distributed both digitally and in print, and waive the right to inspect or approve the finished product wherein my likeness appears. I understand that any and all media, including photographs, film footage, or tape recordings, which may include my or my child's image or voice for purposes of advertising, promotion, or for any other purpose become the exclusive property of Coast2Coast Preps, Inc and I/my child release any claim or liability to that use. I/my child waive any right to royalties or other compensation arising or related to the use of my/my child's image or recording.
*
Enter first and last initial to agree/consent
I recognize there are inherent risks involved in this sport/activity and that my/my child's participation is purely voluntary. I elect to participate/have my child participate in spite of these risks. At all times I/my child will choose the level of participation in any activity. Therefore, for myself/my child, I knowingly and voluntarily assume all risks involved in my/his participation, and do hereby release and hold harmless Coast2Coast Preps, Inc., and its members, trustees, officers, employees, independent contractors and agents, counselors and trainers, and facilities and sponsors from any and all liability and damages, costs, and expenses arising out of or relating to bodily or psychological injury, loss of life or personal property that may occur as a result of participating in this program, regardless of the cause. I certify that my child is insured, in good health, and is able to participate in all programs and activities. Furthermore, in the event of an emergency requiring medical attention, I shall arrange and pay for the services rendered.
*
Enter first and last initial to agree/consent
Sign Document
*
Date Signed
*
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Month
/
Day
Year
Date Picker Icon
SUBMIT
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