Free 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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