Riverbend Basketball Camp Registration Form
Join us for the 1st Riverbend Basketball camp. On June 8-11th, starting at 9:00am-2:00pm. Bring your athlete for a week of elite basketball drills, competition, games and prizes, all while having fun. The camp will be run by Jack Williams and Janitsha Williams with the help other experienced coaches. Please fill out your details to register and select your preferred payment option.
Participant's Full Name
*
First Name
Last Name
Participant's Age
*
Parent or Guardian Email
*
example@example.com
Parent or Guardian First Name
Parent or Guardian Last Name
Parent or Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
T-shirt Size
Please Select
Youth Small
Youth Medium
Youth Large
Youth XL
Small
Medium
Large
XL
2X
Medical or Allergy Information
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Select Camp Session
*
Please Select
June 8-11, 2026
Camp Registration Fee — June 8-11, 2026
*
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Camp Registration Fee — June 8-11, 2026
$
150.00
Payment Methods
Debit or Credit Card
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