Basketball Camp Registration Template

Boo Williams Proving Grounds

Boys Elite Camp - June 20,2026 10a-6p
Boo Williams Sportsplex

5 Armistead Pointe Pkwy B, Hampton, VA 23666
Athlete Information
Athlete's Name

First NameLast Name
Date of Birth

MonthDayYear
Height
Feet
Inches
City
State
North Carolina
School
Class
AAU/Club Team
Twitter/X
Instagram
Shirt Size
Parent/Guardian Information
Name

First NameLast Name
E-mail
example@example.com
Home Number
Format: (000) 000-0000.
Cell Number
Format: (000) 000-0000.
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Alternative Phone Number
Format: (000) 000-0000.
Is the athlete prescribed any medication?
If yes, please explain any instructions.
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by this organization, during the selected camp. In exchange for the acceptance of said child’s candidacy by this organization. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless this organization. All its respective officers, agents, and representatives from any and all liability for injuries to the said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against the organization. Including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include but are not limited to, the risk of fractures, paralysis, or death.
Photo and Video Release
Confirmation

By acknowledging and signing below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.
E-Signature

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Registration Camp Fee

Saturday June 20, 2026

10am - 6p

$250.00

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Total

Payment Methods

Debit or Credit Card

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Boo Williams Proving Grounds

Boo Williams Sportsplex

Athlete Information

Parent/Guardian Information

Emergency Information

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Payment Methods

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