Basketball Camp Registration

Westside Youth Basketball Club Fall 🍁 2025 - Registration

westkhoops.ca
Athlete(s) Information
Athlete #1*

First NameLast Name
Gender*

MaleFemale
Grade -> SEPT 2025*
Birth Date*

MonthDayYear
Athlete's Skill Level*
Years Playing Organized Basketball*
T-Shirt / Jersey Size (YOUTH)*

SmallMediumLargeX-LargeOther

Athlete #2
Athlete #2

First NameLast Name
Gender

MaleFemale
Grade -> SEPT 2025
Birth Date

MonthDayYear
Athletes skill level
Years playing organized basketball
T-Shirt / Jersey Size (YOUTH)

SmallMediumLargeX-LargeOther

Continue Registration 👇
Home Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Parent / Guardian Information
Parent / Guardian #1*

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

First NameLast Name
Cell Number*
E-mail*
example@example.com
Consent to Electronic Communication (email, text, social media, etc.)*
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Cell Number*
E-mail*
example@example.com
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 give my approval for my child’s participation in any and all activities prepared by this organization, during the selected leauge/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.
E-Signature*

Clear
Did a FRIEND refer you to this LEAGUE? If yes, please provide their name here:

First NameLast Name
SELECT PROGRAM / DIVISION
NOTE: DIVISIONS WITHOUT ENOUGH PLAYERS WILL BE COMBINED BOYS AND GIRLS, AKA COED, WHERE NEEDED.

GRADE / DIVISION:*

ANNUAL MEMBERSHIPS

$230.00CAD Quantity

$560.00CAD Quantity

$560.00CAD Quantity

$765.00CAD Quantity

$560.00CAD Quantity

GIRLS

Gr. K-2 | COED | SEPT - DEC | FALL SEASONBORN 2020, 2019, 2018 | U5, U6, U7

$90.00CAD Quantity

Gr. 3, 4, 5 | GIRLS | SEPT - DEC | FALL SEASON BORN 2017, 2016, 2015 | U8, U9, U10

$220.00CAD Quantity

Gr. 6 & 7 | GIRLS | SEPT - DEC | FALL SEASONBORN 2014 & 2013 | U11 & U12

$220.00CAD Quantity

Gr. 8 & 9 | GIRLS | SEPT - DEC | FALL SEASONBORN 2012 & 2011 | U13 & U14

$220.00CAD Quantity

Gr. 10 & 11 | GIRLS | SEPT - DEC | FALL SEASONBORN 2010 & 2009 | U15 & U16

$220.00CAD Quantity

BOYS

Gr. K-2 | COED | SEPT - DEC | FALL SEASONBORN 2020, 2019, 2018 | U5, U6, U7

$90.00CAD Quantity

Gr. 3, 4, 5 | BOYS | SEPT - DEC | FALL SEASONBORN 2017, 2016, 2015 | U8, U9, U10

$220.00CAD Quantity

Gr. 6 & 7 | BOYS | SEPT - DEC | FALL SEASONBORN 2014 & 2013 | U11 & U12

$300.00CAD Quantity

Gr. 8 & 9 | BOYS | SEPT - DEC | FALL SEASONBORN 2012 & 2011 | U13 & U14

$300.00CAD Quantity

Gr. 10 & 11 | BOYS | SEPT - DEC | FALL SEASONBORN 2010 & 2009 | U15 & U16

$300.00CAD Quantity

Enter coupon

Total

$0.00CAD

KidSport / Jumpstart - Funding Application ID (Enter ID # Here):
Example: 2025-123456 (year - six digit number)
Terms and Conditions*
Media Release Consent*
Should be Empty:

Westside Youth Basketball Club Fall 🍁 2025 - Registration

Athlete(s) Information

Parent / Guardian Information

Emergency Information

SELECT PROGRAM / DIVISION