Basketball Camp Registration Template

Tillman Elite Annual Basketball Camp
Student Athlete's Information
Student Athlete's Name*

First NameLast Name
Grade (entering in the fall)*
Gender*

MaleFemale
Shirt Size*

Youth SYouth MYouth LMen's SMen's MMen's LMen's XL
Parent/Guardian Information
Name*

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

First NameLast Name
Relationship*
Phone Number*
Alternative Phone Number
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 & Video Consent

By signing below, I acknowledge and agree that Tillman Elite has my full permission to photograph and/or record video footage of my child during camp activities. I understand that these images and videos may be used by Tillman Elite for the purposes of:

Sharing highlights and updates on official social media platforms (e.g., Instagram, Facebook, etc.)
Promoting future camps and programs through digital or printed materials
Website content, newsletters, and other related media
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*

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Tillman Elite Annual Basketball Camp

Student Athlete's Information

Parent/Guardian Information

Emergency Information