Clone of Memorial Day

1
Participant Name* This field is required.
First Name
Last Name
2
Participant Birthday* This field is required.This camp is designed for children ages 8-15.
Date
Month
Day
Year
3
Gender* This field is required.
Male
Female
4
Participant Information* This field is required.
Please Select
Please Select
Male
Female
Prefer not to answer
Gender
Please Select
Please Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Freshman
Sophomore
Junior
Senior
Grade Level as of Sept 2025
5
Participant Address* This field is required.
Street Address
Street Address Line 2
City
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
Parent or Guardian Information (Primary Emergency Contact)* This field is required.
First Name
Last Name
Please Select
Please Select
Mother
Father
Grandparent
Guardian
Caregiver
Relationship to Participant
Best Contact Number
Email Address
7
Any health problems or allergies we should be aware of?
8
My Products* This field is required.
prevnext( X )
My Bag
1
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Building the Basics Skills & Drills Boys and Girl 2nd-4th grade (lesser developed 5th graders are welcome to register) Full program march-mayFocus Areas:-Tuesdays: Concentration on specific skill development.-Thursdays: Application of learned skills in live action drills. Pricing Options:-Full Program (20 sessions): $675 (discounted rate for attending all sessions)
$675.00Edit
Back
1
1
2
3
4
5
6
7
8
9
10
Quantity
Subtotal: $0.00
Single week registration Focus Areas:-Tuesdays: Concentration on specific skill development.-Thursdays: Application of learned skills in live action drills. Pricing Options:-Weekly Sign-Up: $100 per week (ideal for those uncertain about attending all sessions)u
$100.00Edit
Back
1
1
2
3
4
5
6
7
8
9
10
Quantity
Subtotal: $0.00
Enter Coupon
Total cost $0.00
Credit Card
First Name
Last Name
9
Waiver & Media Release* This field is required.Parental Permission and Medical Release Form I hereby authorize directors, coaches, and associates of the NH Combo Hoops LLC to provide basketball instruction to my son/daughter. I know of no mental or physical problems which affect my child's ability to safely participate in this camp. Undersigned hereby voluntarily and forever released, holds harmless, discharges, eaives and relinquishes any and all actions, causes of actions, or claims for personal injury or wrongful death occuring to his/her son/daughter, against NH Combo Hoops LLC directors, coaches, affiliates, sponsors, et al. arising out of his/her use of equipment and facilities or instruction received during the camp. I hereby authorize directors, coaches, and associates of the NH Combo Hoops LLC Camp to act on my behalf according to their best judgement in any emergency requiring medical attention. I HAVE READ AND AGREE TO THE TERMS FOUND HEREIN AND ATTACH MY SIGNATURE BELOW:
Clear
Should be Empty: