Skyforce Youth Basketball Camp Registration
Tuesday, August 12 • Sanford Pentagon • Presented by Sioux Falls Scheels. Please complete registration form for each camper attending.
Participant's Name
*
First Name
Last Name
Participant's Birthday
*
-
Month
-
Day
Year
Date
Parent/Guardian's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Parent/Guardian's Email
*
example@example.com
If you're attending with a friend/sibling, please let us know who!
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Medical Waiver
Please provide medical history and information
Secondary Contact Name
*
First Name
Last Name
Secondary Contact Relationship to Athlete
*
Secondary Contact Phone Number
*
Please enter a valid phone number.
List any Allergies of the Athlete
List any Medical Conditions of the Athlete
Medical Insurance Company
Primary Physician Name
Hospital of Choice
Heads Up Concussion Waiver
Discuss the risks of concussion and other serious brain injury with your child and sign below.
Heads Up
Signature
*
Photo Release
Athlete can appear in photos and videos for promotional and advertising purposes
Signature
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Camp Session Selection & Checkout
Select your t-shirt size (included with camp registration) and camp session below.
Select your tshirt size (included with registration)
*
Please Select
Youth Size Small
Youth Size Medium
Youth Size Large
Adult Size Small
Adult Size Medium
Adult Size Large
Adult Size XL
Select Your Camp Session
*
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( X )
Session One
Ages 6-9 • 8:30-10:30AM
$
40.00
Session Two
Ages 10-13 • 11:00AM-1:00PM
$
40.00
ADD ON: Skyforce Wilson Basketball
Size 7 Wilson Basketball featuring Skyforce logo. Retails for $40.00
$
30.00
Quantity
1
2
3
4
5
Credit Card
Register
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