STRIVE IN SPORTS
Spring Break Camps
Speed & Agility and Yoga
Sponsors
Contact
There are 2
steps
to registering for the STRIVE Basketball Camp
1
. Please fill out the
R
egistration Form
and then click the
Next
button
2
.
Click Add to
Cart
to submit payment.
STRIVE BASKETBALL CAMP REGISTRATION FORM 2019
CAMPER
INFORMATION
1st Camper's Name
*
First
Last
[object Object]
Birth Date
*
Week attending
*
July 8th-12th
July 15th-19th
Both Weeks (July 8th-12th & July 15th-19th)
Entering Grade
*
3rd
4th
5th
6th
7th
8th
9th
Age
*
Sex
*
Male
Female
Approximate Height
*
4ft
4ft 1in
4ft 2in
4ft 3in
4ft 4in
4ft 5in
4ft 6in
4ft 7in
4ft 8in
4ft 9in
4ft 10in
4ft 11in
5ft
5ft 1in
5ft 2in
5ft 3in
5ft 4in
5ft 5in
5ft 6in
5ft 8in
5ft 9in
5ft 10in
5ft 11in
6ft and above
Camper's Shirt Size
*
youth small
youth medium
youth large
adult small
adult medium
adult large
adult XL
Medical Information
*
Please type none or n/a if your child does not have any medical information
ANY SPECIAL MEDICAL INFORMATION s SHOULD KNOW
(INCLUDING ALL KNOWN MEDICATION, FOOD, OR OTHER ALLERGIES AND ALL KNOW MEDICATION BEING TAKEN. PLEASE NOTE THAT NO MEDICATION CAN OR WILL BE SUPPLIED BY SUMMER SPORTS CAMP STAFF):
2nd Camper
*
First
Last
Birth Date
*
mm/dd/yyyy (ex. 04/25/2007)
Week attending
*
July 8th-12th
July 15th-19th
Both Weeks (July 8th-12th & July 15th-19th)
Entering Grade
*
3rd
4th
5th
6th
7th
8th
9th
Age
*
Sex
*
Male
Female
Option 3
Approximate Height
*
4ft
4ft 1in
4ft 2in
4ft 3in
4ft 5in
4ft 6in
4ft 7in
4ft 8in
4ft 9in
4ft 10in
4ft 11in
5ft
5ft 1in
5ft 2in
5ft 3in
5ft 4in
5ft 5in
5ft 6in
5ft 7in
5ft 8in
5ft 9in
5ft 10
5ft 11in
6ft and above
Camper's Shirt Size
*
youth small
youth medium
youth large
adult small
adult medium
adult large
adult XL
Medical Information
*
ANY SPECIAL MEDICAL INFORMATION s SHOULD KNOW
(INCLUDING ALL KNOWN MEDICATION, FOOD, OR OTHER ALLERGIES AND ALL KNOW MEDICATION BEING TAKEN. PLEASE NOTE THAT NO MEDICATION CAN OR WILL BE SUPPLIED BY SUMMER SPORTS CAMP STAFF):
3rd Camper
*
First
Last
Birth Date
*
Week attending
*
July 8th-12th
July 15th-19th
Both Weeks (July 8th-12th & July 15th-19th
Entering Grade
*
3rd
4th
5th
6th
7th
8th
Age
*
Sex
*
Male
Female
Option 3
Approximate Height
*
4ft
4ft 1in
4ft 2in
4ft 3in
4ft 4in
4ft 5in
4ft 6in
4ft 7in
4ft 8in
4ft 9in
4ft 10in
4ft 11in
5ft
5ft 1in
5ft 2in
5ft 3in
5ft 4in
5ft 5in
5ft 6in
5ft 7in
5ft 8in
5ft 9in
5ft 10in
5ft 11in
6ft and over
Camper's Shirt Size
*
youth small
youth medium
youth large
adult small
adult medium
adult large
adult XL
Medical Information
*
ANY SPECIAL MEDICAL INFORMATION s SHOULD KNOW
(INCLUDING ALL KNOWN MEDICATION, FOOD, OR OTHER ALLERGIES AND ALL KNOW MEDICATION BEING TAKEN. PLEASE NOTE THAT NO MEDICATION CAN OR WILL BE SUPPLIED BY SUMMER SPORTS CAMP STAFF):
4th Camper
*
First
Last
[object Object]
Birth Date
*
Week Attending
*
July 8th-12th
July 15th-19th
Both Weeks (July 9th-13th & July 16th-20th)
Entering Grade
*
3rd
4th
5th
6th
7th
8th
9th
Age
*
Sex
*
Male
Female
Approximate Height
*
4ft
4ft 1in
4ft 2in
4ft 3in
4ft 4in
4ft 5in
4ft 6in
4ft 7in
4ft 8in
4ft 9in
4ft 10in
4ft 11in
5ft
5ft 1in
5ft 2in
5ft 3in
5ft 4in
5ft 5in
5ft 6in
5ft 7in
5ft 8in
5ft 9in
5ft 10in
5ft 11in
6ft and over
Camper's Shirt Size
*
youth small
youth medium
youth large
adult small
adult medium
adult large
adult XL
Medical Information
*
ANY SPECIAL MEDICAL INFORMATION s SHOULD KNOW (INCLUDING ALL KNOWN MEDICATION, FOOD, OR OTHER ALLERGIES AND ALL KNOW MEDICATION BEING TAKEN. PLEASE NOTE THAT NO MEDICATION CAN OR WILL BE SUPPLIED BY SUMMER SPORTS CAMP STAFF):
Parent/Guardian Information & Waiver Release
Parent/Guardian Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
How did you hear about us?
*
Website
Facebook
Instagram
SPF Backpack
Flyer
Friend
Other
Email
*
Work/Home Phone Number
*
Cell Phone Number
*
EMERGENCY CONTACT (OTHER THAN NAME ABOVE, AUTHORIZED TO PICK UP CHILD OR TO CALL IN AN EMERGENCY. PLEASE NOTE THAT WE WILL ALWAYS CALL PRIMARY PARENT/GUARDIAN FIRST):
Waiver & Photo Release
I HAVE CLICKED THE LINK ABOVE AND READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
Name & Date
*
By signing & dating, I have clicked on the Waiver & Photo Release.
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Spring Break Camps
Speed & Agility and Yoga
Sponsors
Contact