STRIVE IN SPORTS
Spring Break Camps
Speed & Agility and Yoga
Sponsors
Contact
There are 2
steps
to registering for the STRIVE Junior Basketball Camp
1
. Please fill out the
R
egistration Form
2
.
Click the NEXT BUTTON
at the bottom of the page to complete the registration.
STRIVE BASKETBALL JUNIOR CAMP REGISTRATION FORM 2020
CAMPER(S)
INFORMATION
*
Indicates required field
1st Camper's Name
*
First
Last
[object Object]
Birth Date
*
Week attending
*
July 6th-9th
Entering Grade
*
Kindergarten
1st grade
2nd grade
3rd grade
Age
*
Sex
*
Male
Female
Approximate Height
*
2ft and 8in and below
2ft 9in
2ft 10in
2ft 11in
3ft
3ft 1in
3ft 2in
3ft 3in
3ft 4in
3ft 5in
3ft 6in
3ft 7in
3ft 8in
3ft 9in
3ft 10in
3ft 11in
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)
Entering Grade
*
Kindergarten
1st grade
2nd grade
3rd grad
Age
*
Sex
*
Male
Female
Option 3
Approximate Height
*
2ft 8in and below
2ft 9in
2ft 10in
2ft 11in
3ft
3ft 1in
3ft 2in
3ft 3in
3ft 4in
3ft 5in
3ft 6in
3ft 7in
3ft 8in
3ft 9in
3ft 10in
3ft 11in
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
*
Entering Grade
*
Kindergarten
1st Grade
2nd Grade
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
*
Entering Grade
*
Kindergarten
1st Grade
2nd Grade
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
3ft 11in
3ft 10in
3ft 9in
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
Email
*
Cell Phone Number
*
Work/Home Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
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):
1st Emergency Contact Name
*
1st Emergency Phone Number
*
2nd Emergency Contact
*
2nd Emergency Phone Number
*
How did you hear about us?
*
Website
Facebook
Instagram
SPF Backpack
Flyer
Friend
Other
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 (First & Last)
*
By signing & dating, I have clicked on the Waiver & Photo Release.
Date
*
Next
Spring Break Camps
Speed & Agility and Yoga
Sponsors
Contact