Registration - Men's Basketball Youth Camp

Camp Cost:
$200 one camp
$350 for both camps
$350 siblings

Camp Session:

Camp Session: Youth Camp: June 16-19, 2025 Youth Camp: July 28-31, 2025 Student will attend both camps
Student Name: Student Name: First Last
Date of Birth: Date of Birth: / MM / DD YYYY
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Home Phone: Home Phone: - ### - ### ####
Mobile Phone: Mobile Phone: - ### - ### ####
Parent/Guardian Email:
School Attending:
Grade Entering in Fall of 2025
Shirt Size:

Shirt Size: Youth Small Youth Medium Youth Large Small Medium Large X Large XX Large
Emergency Contact Name #1 Emergency Contact Name #1 First Last
Relationship
Phone Number 1 Phone Number 1 - ### - ### ####
Emergency Contact #2 Emergency Contact #2 First Last
Relationship
Phone Number 2 Phone Number 2 - ### - ### ####
Insurance Company
Policy Holder Name
Policy Number
Please list any food allergies:
Is there a sibling (Student #2) that you would like to also register for this camp?

Is there a sibling (Student #2) that you would like to also register for this camp? Yes No
Name (Student #2) : Name (Student #2) : First Last
Date of Birth (Student #2): Date of Birth (Student #2): / MM / DD YYYY
School Attending (Student #2):
Grade Entering in Fall of 2025 (Student #2):
Shirt Size (Student #2):

Shirt Size (Student #2): Youth Small Youth Medium Youth Large Small Medium Large X Large XX Large
Please list any food allergies (Student #2):