Basketball Camp Registration Form

Basketball Academy - Registration Form

Boys & Girls Ages 10 -17

August 1-2, 2026

10:00am - 2:00pm

FREE

*Includes lunch, t-shirt and water

Saint Joe's Prep

1733 West Girard Ave. Phila. Pa 19130

For questions contact us a info@hoopdreamsinc.com or 267-319-5253

Athlete Information

Student Name

First NameLast Name

Age

Date of Birth

Date

Grade

Gender

What school do you attend?

T-Shirt Size (Adult)

Student Instagram

Address

Street Address

Street Address Line 2

CityState

Zip Code

Guardian / Parent Name

First NameLast Name

Phone

Area CodePhone Number

E-mail

Emergency Contact's Name

First NameLast Name

Important Notes

Must wear athletic clothing
Must wear sneakers
FREE lunch and t-shirt provided
All athletes must stay until the end of the camp, unless we are notified by a parent.

Emergency Contact & Health Insurance Information

Relationship

Phone Number

Area CodePhone Number

Does participant have any allergies, chronic illness, or medical conditions that would limit high level activity?

If Yes, please describe

Parental Permission For Emergency Treatment

In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel or Hoop Dreams staff for my child. I give consent for the facility to secure any and all necessary emergency medical care for my child.

Release of Liability

Although the safety of all sport activities is the primary concern, indoor sport activities at St. Joseph's Preparatory School's facilities may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against the coaches and staff of Hoop Dreams Inc. and St. Joseph's Preparatory School.

Photo Release

I hereby grant permission to Hoop Dreams Inc. to record my child's likeness and/or voice on a video, audio, photographic, electronic, digital or any other medium and use his/her name in publications, news releases, online, and in other communications related to the mission of Hoop Dreams Inc. I release and waive any claims or rights of compensation or ownership regarding such uses and understand that all such recordings shall remain the property of Hoop Dreams Inc.

I have read and agree to the above conditions

Confirmation E-mail

Parent Signature

After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at info@hoopdreamsinc.com