Summer Camp Registration Form 2025

Ironmen Summer Camp Registration Form

2025
Athlete Information
Athlete's Name*

First NameLast Name

The sessions shown below are available for open registration. Please mark the session(s) you would like to register for.

	Yes
Session 1 (July 7-11)
Session 3 (July 21-25)
Session 4 (July 28-Aug 1)

The session(s) shown below are full, but you can sign up for the WAITLIST. Please mark the session(s) you would like to be waitlisted for

Yes

Session 2 (July 14-18)
Jersey Size*

YSYMYLYXLASAMALAXLAXXL
Would you like to purchase an extra jersey for $30? (Purchase will be made on website when paying for Summer Camp)*

YesNo
Grade (Incoming Fall '25-'26 school year)*

3rd4th5th6th7th8thOther
Birth Date*

MonthDayYear
Gender*

MaleFemale
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Parent 1*

First NameLast Name
Cell Number*
E-mail*
example@example.com
Parent 2*

First NameLast Name
Cell Number*
E-mail*
example@example.com
Additional Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Cell Number*
Parent Insurance Company Name*
Parent Insurance Policy #*
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the athlete prescribed an inhaler? If yes, please explain any instructions.
Informed Consent and Acknowledgement

I hereby authorize the Director of the Ironmen Basketball to act for me, according to their best judgment, in any emergency requiring medical attention and hereby waive and release Orangewood Academy, Ironmen Basketball, Garrett James, SCC SDA, and all of their directors & coaches from any and all liability from any injuries or illness incurred while at Ironmen Basketball Camp. I will be responsible for any medical or other charges in connection with my child’s attendance. I know of no mental or physical problem which may affect my child’s ability to safely participate in this program. The undersigned agrees to indemnify and hold harmless Ironmen Athletics LLC dba: Ironmen Basketball, Garrett James, Orangewood Academy, employees, and coaches/instructors from and against alleged liability, claims, suits, damages, losses, and expenses, including attorneys’ fees arising from your child’s participation, or from any cause what-so-ever. This is not an Orangewood Academy sponsored camp; it is owned and operated by Ironmen Athletics LLC.
Refund Policy

BY ACKNOWLEDGING AND SIGNING BELOW, I AGREE TO IRONMEN BASKETBALL'S REFUND. I AGREE THAT THERE ARE NO REFUNDS AFTER JUNE 30TH. IF I CHOOSE TO PROCESS A REFUND BEFORE JUNE 30TH, A 25% REFUND TRANSACTION FEE WILL BE CHARGED TO ME.
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.
Date*

MonthDayYear
Date
Signature*

Powered by Jotform SignClear

	Yes
Session 2 (July 14-18)

Mark the session(s) you would like to register for*

	Yes
Session 1 (July 7-11)
Session 2 (July 14-18)
Session 3 (July 21-25)
Session 4 (July 28-Aug 1)

Should be Empty:

Ironmen Summer Camp Registration Form

Athlete Information