Basketball Camp Sign-Up Form
Please provide all required information to complete your registration. Completing this form does not guarantee camp entry. Parents will receive a confirmation once the camp application closes.
Camper Information
Camper's Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Camper's Gender
*
Male
Female
Other
Age
*
Please Select
6
7
8
9
10
11
12
13
14
15
16
17
Grade (upcoming school year)
*
Please Select
Uniform Size - TOP
*
Please Select
Youth Small
Youth Mediun
Youth Large
Youth XL
Adult XSmall
Adult Small
Adult Medium
Adult Large
Adult XL
Uniform Size - SHORTS
*
Please Select
Youth Small
Youth Mediun
Youth Large
Youth XL
Adult XSmall
Adult Small
Adult Medium
Adult Large
Adult XL
Have you attended Camp before
*
Yes
No
Parent/Guardian Information
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Health Information
Does your camper have any health concerns or allergies we should be aware of?
Camp Waivers
Please sign the following waivers for your camper to participate.
Media Release and Authorization - I hereby grant permission to The Thomas & Woods Foundation, its successors, assigns, and those acting with its authority, to reproduce, copyright, publish, circulate, or otherwise use my name, the name of my minor child, and/or photographic or video likenesses of myself and my child. This includes single images, multiple images, or moving images, whether in whole or in part, or in composite form. I waive any right to inspect or approve the final product, or any copy that may be used, as well as any use to which it may be applied. This authorization applies to the use of these materials in any published, broadcast, or electronic format, including but not limited to advertising, publicity, or promotional materials, in any medium and throughout the world, in perpetuity. I understand that photos and video footage of me, my child, and other members of my family may be displayed publicly, viewed in group settings, or printed in organizational newsletters. I also understand that these materials may be shared with external media outlets such as newspapers or magazines. Furthermore, I, on behalf of myself, my heirs, executors, administrators, or assigns, transfer to The Thomas & Woods Foundation all rights, title, and interest in and to any such media or representations. This agreement constitutes the entire understanding between the parties. No additional promises, representations, or statements have been made to me outside of this written release.
*
Health & Safety Waiver - I, the undersigned parent or legal guardian of the camper named above, hereby give permission for my child to participate in the [Name of Summer Camp] (“the Camp”), including all scheduled activities, on-site and off-site. I acknowledge and understand that participation in camp activities involves inherent risks, including but not limited to physical activity, exposure to outdoor elements, and contact with other participants. I understand that while the Camp staff will take reasonable steps to ensure safety, it is not possible to eliminate all risks. I confirm that my child is physically able and has no known conditions or limitations that would prevent full participation in camp activities. I agree to inform the Camp in writing of any medical conditions, allergies, or medications that may affect my child’s participation. Medical Consent - In the event of an emergency, I authorize the Camp and its staff to obtain medical treatment for my child and to act in my absence to secure any necessary emergency services. I understand that I will be notified as soon as possible in the event of such an emergency. Liability Waiver - I release and hold harmless [Camp Organization Name], its staff, volunteers, and affiliates from any and all liability, claims, demands, or causes of action for injuries, damages, or losses incurred during my child’s participation in the Camp, except in cases of gross negligence or intentional misconduct. Health Disclaimer -By signing this form, I acknowledge that I understand and accept the potential health risks associated with group activities, including the risk of contagious illness. I agree not to send my child to camp if they are showing symptoms of illness or have been exposed to any communicable disease within the last 5 days prior to attendance.
*
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