Basketball Camp Registration Form

Basketball Camp Registration Form

To register for our Basketball Camp, please fill out the required details below.

Participant Information

Name

    Date of Birth

      Gender

      • Male

      • Female

      Address

        Emergency Contact Information

        Emergency Contact Name

          Phone number

            Relationship to Participant

              Medical Information

              Allergies

                Medications

                  Insurance Information

                  Insurance Provider

                    Policy Number

                      Group Number

                        Camp Waiver and Consent

                        By signing below, I, the undersigned, consent to my child’s participation in the basketball camp. I acknowledge that I have disclosed all necessary medical information and will not hold the camp liable for any injuries sustained during the camp. I also consent to the use of photographs or video recordings of my child for promotional purposes.

                        Date:

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