2025 Elite Middle School Basketball

Middle School Elite Basketball

We invite rising 7th, 8th, and 9th graders to enhance their basketball skills while getting an early introduction to the Fighting Irish Basketball Program. Please note this is an elite-level and intense basketball summer program. Cost is $150.00 per player for all 6 sessions. June 4, 9, 11, 16, 18, 23
Participant's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email *
example@example.com
Parent/Guardian Phone Number*
Current School*
Height*
Grade in Fall 2025*
Position*
T-Shirt Size*

Payment*

Middle School Basketball

$150.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Medical Release
I verify that [participant]
Participant
Is medically insured with
Provider
Policy number
Policy Number
Has dental insurance with
Provider
Parent Signature
The above insurance effectively covers any medical or dental cost incurred as a result of participation, I authorize the coaching staff to seek any necessary emergency medical or dental treatment my child may need during the course of camp.*

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Current Medications
Current Allergies
Acknowledgement of Risk
As the Parent/Guardian of [participant]*
I acknowledge the potential risk of injury related to participating in the physical activities associated with participation in this basketball program. I knowingly and voluntarily on behalf of the camp participant accept the risk of all such injuries that could occur due to participation in the camp.*

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Upload pictures of the front and back of insurance card

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Media Release Authorization for Minors

O’Dea High School is seeking media release authorization for photos taken during the duration of the camp. These images may be used in school publications, social media, and promotional materials to highlight student participation and activities.

Thank you for your support in capturing and celebrating this experience!
As the Parent/Guardian of [participant]*
I _________ to O’Dea High School photographing and/or recording my child during the duration of the camp. I understand that these images may be used in school publications, social media, and promotional materials. I waive any rights to inspect or approve the final product and release O’Dea High School from any claims related to their use.*

ConsentDo NOT Consent
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Middle School Elite Basketball

Medical Release