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Registration Form

ATHLETE PROFILE

First Name

Last Name

Preferred Name

Date of Birth

School

Write "n/a" if you are no longer in school.

Current Grade

Select "n/a" if you are no longer in school.

Shirt Size (Adult Sizes)

Small

Medium

Large

X-Large

LIABILITY, HEALTH INFORMATION & PHOTO RELEASE

Health and General History

Please describe any medications taken and any medical conditions that require special attention. Please type N/A if this section does not apply.

Acknowledgement

I certify that my child is healthy enough to fully participate in basketball camp activities.

I HAVE READ THIS RELEASE OF LIABILITY, HEALTH RELEASE AND PHOTOGRAPHY RELEASE, AND I FULLY UNDERSTAND THEIR TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. Please note, the release will open in a new window/tab. This will preserve the information you've already entered. You can then come back to this window/tab to complete the registration.

Accept the releases?

Yes. I have read the terms and I accept the liability, health and photo release.

PARENT/GUARDIAN INFORMATION

Parent/Guardian 1

First Name

Last Name

Street Address

City

State

Zip Code

Primary Phone

Additional Phone

Parent/Guardian 2

First Name

Last Name

Street Address

City

State

Zip Code

Primary Phone

Additional Phone

Registration Check

Form has been previewed and all information is accurate.

Promotional Emails

Yes, I would like my email shared with camp and event partners for future event promotions.

No, I would not like my email shared with camp and event partners for future event promotions.

TAKING THE NEXT STEP TO EXCELLENCE

REGISTER HERE

Let's Get Started

Sign up now if you are ready to grow as a leader and player

Registration Form

ATHLETE PROFILE

LIABILITY, HEALTH INFORMATION & PHOTO RELEASE

PARENT/GUARDIAN INFORMATION

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