Basketball Camp Registration Template

Basketball Camp Registration
June 15-17th Grades 4th-8th (Boys and Girls)

June 22nd-24th Grades 7th-12th (Girls Only)

Registration / Doors Open every day at 8:00 am
Camp 9:00 am- 4:00 pm
Athlete Information
Athlete's Name*

First NameLast Name
Grade*
Gender*

MaleFemale
Parent/Guardian Information
Name*

First NameLast Name
E-mail*
example@example.com
Home Number
Format: (000) 000-0000.
Cell Number*
Format: (000) 000-0000.
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Format: (000) 000-0000.
Alternative Phone Number
Format: (000) 000-0000.
Is the athlete prescribed an inhaler?

YesNo
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.
Photo Release for Minors (If under 18)

I grant permission to Shooting 4 Excellence Camp to use photographs, videos, or recordings of me and my child for marketing, promotional, and media purposes, including social media and website content. I understand that no compensation will be provided and that I waive the right to review or approve how these materials are used.

I release and hold harmless Shooting 4 Excellence Camp and its representatives from any liability related to the use of these materials. I confirm that I am at least 18 years old or the parent/legal guardian of the participant.
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*
CAMP FEE
prevnext( X )
Registration Camp Fee
$175.00

Total

$0.00
Email
example@example.com
Should be Empty:

Basketball Camp Registration

Athlete Information

Parent/Guardian Information

Emergency Information