2026 Rally Camper Registration

Registration Form

These forms are required for your children to attend camp! New for this year, camp will be held July 13 - 17, 2026 at Crestline Elementary School located at W Jackson Blvd, Mountain Brook, Alabama. If you are registering more than one child, you will need to submit a separate registration form for each child.
Camper's Information
Camper's Name

First NameLast Name
Nickname (if different)
Date of Birth

MonthDayYear
Reminder: Rally is for kids aged 5-11.
Gender
Is this your first time at Rally Sports Camp?
Did someone refer you to Rally Sports Camp?
List first and last name of referrer.
How did you hear about Rally Sports Camp? Check all that apply:

Other
School Camper Attends:
Grade camper will have completed in May 2026
T-Shirt Size
Size is not guaranteed, but we will do our best to fulfill your request
Please provide any additional information that you think is important or may affect the camper's ability to fully participate in the camp program. No group or pairing requests will be taken.

Parent's/Guardian's Information, Emergency Contact and Approved Pickups
Parent/Guardian #1
Parent/Guardian #1

First NameLast Name
Relationship to Child
Parent/Guardian #1 E-mail
Parent/Guardian #1 Cell Phone
Format: (000) 000-0000.
Parent/Guardian #1 Work Phone
Format: (000) 000-0000.
Parent/Guardian #1 Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian #2
Parent/Guardian #2

First NameLast Name
Relationship to Child
Parent/Guardian #2 E-mail
Parent/Guardian #2 Cell Phone
Format: (000) 000-0000.
Parent/Guardian #2 Work Phone
Format: (000) 000-0000.
Where would parent/guardian 2 like to be reached while your child is at camp?
Home Address Same as Parent/Guardian #1?
Parent/Guardian #2 Home Address, if different from Parent/Guardian #2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
Parent/guardian cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. At least one person listed must be able to take responsibility for the child in case the parent/guardian cannot be reached.
Emergency Contact Full Name

First NameLast Name
Emergency Contact Cell Phone Number
Format: (000) 000-0000.
Emergency Contact Relationship to Child
Any Additional Approved Pickup Names
Only the parent/guardian, emergency contact(s), or the names on the approved pickup list will be able to pick up the camper. You will be required to show valid photo identification in order to pick up the camper.
Approved Pickup #1 First Name Last Name
Approved Pickup #2 First Name Last Name
Approved Pickup #3 First Name Last Name
Approved Pickup #4 First Name Last Name
Approved Pickup #5 First Name Last Name
Approved Pickup #6 First Name Last Name

Health Insurance
Insurance Information

Health Insurance Company

Health Insurance Insured Name

Policy NumberGroup Number

Postal / Zip Code

Statement of Understanding and Payment
I, the undersigned, hereby authorize Zero Zero Foundation to photograph, take motion pictures, take video footage, and/or make electronic sound recordings of the registered camper (herein referred to as photographic or electronic reproductions).
I authorize the use of any such photographic or electronic reproductions for any purpose, including, but not limited to educational and other public media as may be deemed appropriate by Zero Zero Foundation. (I understand that the camper may be identifiable from such photographic or electronic reproduction)
Sign Document
Date Signed

MonthDayYear
Today's Date

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Camper Registration $200.00

JULY 13-17: 8:30 AM - 11:30 AM

ZeroZero Donation. Rally Sports Camp is a program of the ZeroZero Foundation! The ZeroZero Foundation is a nonprofit organization in Birmingham, Alabama that provides early intervention to at-risk youth through the power of sports. Donations to the ZeroZero Foundation will provide scholarship opportunities for ZeroZero kids to participate in Rally Sports Camp.

ZeroZero Donation$5.00

Rally Sports Camp is a program of the ZeroZero Foundation! The ZeroZero Foundation is a nonprofit organization in Birmingham, Alabama that provides early intervention to at-risk youth through the power of sports. Donations to the ZeroZero Foundation will provide scholarship opportunities for ZeroZero kids to participate in Rally Sports Camp.

ZeroZero Donation$10.00

ZeroZero Donation$20.00

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Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Registration Form

Parent's/Guardian's Information, Emergency Contact and Approved Pickups

Health Insurance

Statement of Understanding and Payment

My Products*

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