BASKETBALL CAMP REGISTRATION

Family and Movement: Basketball Skills & Development Camp

PARTICIPANT INFORMATION:

Participant Full Name

Participant Age

Any medical conditions, allergies, or notes we should know about?

PARENT/GUARDIAN INFORMATION

Parent/Guardian Full Name

Parent/Guardian Email

Parent/Guardian Phone

EMERGENCY CONTACT INFORMATION:

Emergency Contact Name

Emergency Contact Phone Number

ACKNOWLEDGMENTS

Since this is an outdoor event, I acknowledge the camp is held outside and weather-dependent

I acknowledge

Liability waiver: I release Youth for a Better Future and its partners from liability for injury during this event

I acknowledge

Photo/Video Release: I grant Youth for a Better Future permission to photograph/video my child and me and use these images for promotional, social media, and marketing purposes

I acknowledge

I acknowledge that YBF may contact me regarding this event, as well as future events, giveaways, and youth programs.

I acknowledge

Camp Fee is $100

I understand and agree to pay the $100 registration fee

I am requesting a sponsorship

Parent/Guardian Signature

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Today's Date:

CAMP REGISTRATION

Pay in full$100

Request financial sponsorship$0