Basketball Camp Registration Template

HITP Hoops North Commons Basketball Clinic Registration
Place: North Commons Park

Date Monday July 20th

address: 1801 James Ave N
Minneapolis, MN 55411

Time: 12pm-4pm

Ages: 5-17

ALL YOUTH OF AGE INVITED

LUNCH will be PROVIDED

NO COVER FOR PARTICIPANTS
Athlete Information
Athlete's Name

First NameLast Name
Grade
Parent/Guardian Information
Name

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

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Alternative Phone Number
Format: (000) 000-0000.
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
Should be Empty:

HITP Hoops North Commons Basketball Clinic Registration