Basketball Camp Registration Template

Speed and Agility Training
Tuesday, Thursday, Friday every week beginning June 10 - July 25

Time: 9:15 - 10:30 am

Team Speed

311 E County Line Rd Suite A19
Littleton, CO 80122
Athlete's Name*

First NameLast Name

Additional Student?
Athlete's Name

First NameLast Name

Additional Student?
Athlete's Name

First NameLast Name

Parent/Guardian Information
Name*

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

First NameLast Name
Relationship*
Phone Number*
Alternative Phone Number

Speed and Agility Camp Waiver

Required for participation for all athletes. If registering more than one athlete, please complete for each participant.

Speed and Agility RegistrationTotal cost per student

$150.00 Quantity

Enter coupon

Total

$0.00

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

Should be Empty: