Basketball Camp Registration

HITP Hoops North Commons Basketball Clinic

Location: North Commons Park: 1801 James Ave N Minneapolis, MN 55411
ALL YOUTH AGES 5-15 are INVITED

DATE: Monday December 22nd

TIME OF Clinic: 12:00pm-4:00pm

-Schedule
Warm Up
Stations

Lunch (Provided by HITP Hoops if camper does not have their own.)

Break into Teams
Games
Reflect/End Of Day

Every camper will receive a Hard In The Paint Hoops T-Shirt at the end of programming

THIS CAMP COSTS NOTHING BUT THE YOUTHS HARD WORK!!!
Athlete Information
Athlete's Name*

First NameLast Name
Grade*
Parent/Guardian Information
Name*

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

First NameLast Name
Relationship*
Phone Number*
Alternative Phone Number
Is the athlete prescribed an inhaler?

YesNo
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 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*

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HITP Hoops North Commons Basketball Clinic

Athlete Information

Parent/Guardian Information

Emergency Information