Coach Referral: 'BEYOND THE GAME' BASKETBALL CAMP

'BEYOND THE GAME' BASKETBALL CAMP

September 6th-7th| Where Skill Meets Strategy & Character
Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Age
years
Height
cm
Weight
KG
Preferred basketball court position?
Guard (PG/SG), Forward (SF/PF) or Center
Which position does the camper most often play?

Point GuardShooting GuardSmall ForwardPower ForwardCenterNot Sure
Do you currently play for a travel team?

YesNo
If you are on any medications, please list them.
If you have any injuries, please list them.
Are you experiencing any stresses or motivational problems?

YesNo
Has the camper previously attended any basketball skills camps?

YesNo
Select the grade the camper will be entering in the fall of 2025:

6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade
What is your main goal for attending the camp?

Improve my basketball skills and fundamentalsGain exposure for college recruitment/NCAA opportunitiesLearn leadership, mindset, and personal developmentBuild awareness around social media and NIL opportunitiesNetwork with coaches, players, and other student-athletesA combination of all the above
Please rate your motivational level to do what it takes for reach your goal.

12345678910
Have you trained with a personal trainer before?

YesNo
What kind of training did you do?
At what times during the day would you prefer to train?

MorningMid-DayAfternoonEvening
Are you actively working with a basketball trainer?
How often do you want to do Personal Training a week?
Please Choose
What are some of your weaknesses you would like to improve?
We love celebrating our campers! If you'd like to be tagged in highlight posts or receive direct updates, please drop your Instagram or TikTok handle below.
Twitter (X), Instagram or TikTok
Do you grant permission for your child to be photographed or filmed during the “Beyond the Game” Basketball Camp for promotional use on social media, websites, or broadcast media by Fox Sports Radio and PickUp USA?

Yes, I grant permission.No, I do not grant permission.
Conduct Agreement

I acknowledge that all campers are expected to demonstrate respectful behavior toward staff, coaches, fellow campers, and the facility.

Any camper who exhibits repeated disruptive, disrespectful, or unsafe behavior may be sent home at the discretion of the event organizers.

I understand that if a camper is dismissed from camp due to misconduct, no refund will be issued.
I agree to the code of conduct and understand the refund policy.

YesNo
Liability Waiver & Medical Consent

By checking "Yes," I confirm that I am the parent or legal guardian of the camper named above. I acknowledge that participation in the “Beyond the Game” Basketball Camp involves physical activity and assume all risks related to such participation. I hereby release and hold harmless Fox Sports Radio, PickUp USA Fitness, their staff, and affiliates from any liability, claims, or causes of action arising from any injuries sustained during camp. I also authorize camp staff to secure any medical treatment deemed necessary in case of emergency.
I AGREE TO THE ABOVE TERMS & CONDITIONS!

YesNo

“Beyond the Game” Basketball Camp

Referral Registration FeeDATE: Sept. 6th-7th (8AM-12PM)

$75.00 Quantity

Total

$0.00

Credit Card

Should be Empty: