2025 Summer Girls Camp Registration

Please be mindful that this camp is completely free of charge and the complimentary shirt is also free. The option to buy any of the items below is not required at all for completion of the application. 

Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by Six Twelve Camps during the selected camp. In exchange for the acceptance of said child’s candidacy by Six Twelve Camps, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Six Twelve Camps. and all its respective officers, agents, and representatives from any and all liability for injuries to 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  Six Twelve Camps 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.

Right To Deny I understand that Six Twelve Camps, has the right to deny admittance to any student not meeting the standards of the program as it see fit. I also agree not to hold these parties responsible in the event that my camper engages in inappropriate conduct (including, but not limited to disruptive or volatile behavior in or out of camp, etc.) or becomes involved in any activity or with any persons not associated with Six Twelve Camps, or it's scheduled program and that Six Twelve Camps, has the right to send him/her home for inappropriate conduct. I further attest that the information obtained in this application is correct to the best of my knowledge. In addition, I have agreed to the policy and fee statement and agree to apply.

Promotional Consent I hereby give permission to Six Twelve Basketball Camps, to photograph and/or videotape your camper for educational or promotional purposes.

Medical Release and Authorization As Parent and/or Guardian of the named athlete, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to the  Six Twelve Camps and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

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.