Basketball Camp Registration
2025
Athlete Information
Athlete's Name
*
First Name
Last Name
Age
*
In which session are you enrolling?
K-2nd Session (9am-11am) - $75
3rd-5th Session (11:30am-1pm) - $75
Athlete's Name (2)
First Name
Last Name
Age
In which session are you enrolling?
K-2nd Session (9am-11am) - $75
3rd-5th Session (11:30am-1pm) - $75
Athlete's Name (3)
First Name
Last Name
Age
In which session are you enrolling?
K-2nd Session (9am-11am) - $75
3rd-5th Session (11 am-1pm) - $75
Parent/Guardian Information
Name
*
First Name
Last Name
Home Number
-
Area Code
Number
Cell Number
*
-
Area Code
Number
E-mail
*
Emergency Information
Emergency Contact's Name
*
First Name
Last Name
Relationship
*
Please Select
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Other
Phone Number
*
-
Area Code
Number
Alternative Phone Number
-
Area Code
Number
Does the athlete have any health concerns? 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
*
Camp Enrollment Fee Agreement
*Space in limited. Invoices will be sent out no later than a week prior to the start of camp. For any questions please contact ChampCampReno@gmail.com
Terms and Conditions
*
Submit Form
Submit Form
Print Form
Should be Empty: