Basketball Camp Registration Template

Jarell Christian Basketball Camp (August) at Joyce Middle School

(55 Locust St. Woburn MA. 01801)
Jarell Christian Basketball Camp is teaming up with local basketball programs to host a THIRD camp for our community! Over February Break and Spring Break we welcomed over 175 local kids and coaches to partake in our inaguaral basketball camps. Due to the overwhelming demand and positive feedback, we're thrilled to offer this opportunity to cap off your summer fun!

Jarell is currently a scout for the Boston Celtics and has served on the coaching staff as a Player Development coach during the 2022-2023 NBA season.
He is also the General Manager of the Maine Celtics, formerly known as the Red Claws. During the 2021-2022 season, Jarell was the Maine Celtics Head Coach which helped develop Sam Hauser and Luke Kornet. The purpose of this clinic is to develop dribbling, passing, shooting and defensive skills all while creating a fun environment for learning.
Spots are limited, so register now! Don't miss out on the chance to train with us.
AUGUST 18th - 21st (MONDAY - THURSDAY)
9am - 1PM
BOYS AND GIRLS GRADES 1-8
WOBURN @ JOYCE MIDDLE SCHOOL
(55 LOCUST ST. WOBURN, MA. 01801)
Athlete Information

Each child must be registered separately
Athlete's Name*

First NameLast Name
Age*
Grade*
School*
Gender*

MaleFemale
Has your child attended a previous Jarell Christian Basketball Camp?

YesNo
Parent/Guardian Information
Name*

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

First NameLast Name
Relationship*
Cell Number*
Alternative Contact Number
Is the athlete prescribed any medication(s)?

YesNo
If yes, please explain any instructions.*

My Products

Jarell Christian Basketball Camp @ Joyce Middle School RegistrationEACH CHILD MUST BE REGISTERED SEPARATELY. Use code SIBLING to get a discount for each child.

$275.00

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Subtotal

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Tax

$0.00

Total

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Credit Card

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.
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.
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Jarell Christian Basketball Camp (August) at Joyce Middle School

Athlete Information

Parent/Guardian Information

Emergency Information

Credit Card