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Participant's Full Name
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First Name
Last Name
Participant's Date of Birth
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Month
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Day
Year
Participant's Gender
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Male
Female
Other
Parent/Guardian Full Name
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First Name
Last Name
Please indicate your skill level (Compared to his/her peers)
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Beginner
Intermediate
Advanced
Parent/Guardian Email Address
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example@example.com
Parent/Guardian Phone Number
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Area Code
Phone Number
Emergency Contact Phone Number
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Area Code
Phone Number
Media Release
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We request permission to take photos and short videos during the camp to highlight player development, promote future programs, and share positive community impact.
Emergency Contact Name
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First Name
Last Name
Does the participant have any medical conditions or allergies we should be aware of?
Name a local gym you would like for Ballamentals101 Skills Training to be held, in the future.?
Code of Conduct for Participants and Parents
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All participants and their parents/guardians are expected to behave respectfully and positively to maintain a safe and supportive learning environment. Any behavior that disrupts this environment may result in removal from the skills training program. We appreciate your cooperation and commitment to fostering a positive experience for everyone involved.
How did you hear about BALLAMOMICS101?
Liability Waiver
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I, the undersigned parent/guardian, acknowledge that participation in Hand2Hand Community Initiative programs, including but not limited to athletic training, basketball camps, and mentorship activities, involves physical activity and inherent risks.
I voluntarily assume all risks and release Hand2Hand Community Initiative, its coaches, staff, volunteers, and affiliates from any liability for injuries or damages arising from participation.
Parent/Guardian Signature
*
Register
Ballamentals101 Youth Basketball Skills Training Registration
📅 Sunday, April 12⏰ 3:00 PM – 6:00 PM📍 Stuart Middle School
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