Coach Landen Next Level Basketball Camp Registration March 21st, 12p-4p Hosted By Will Openshaw & Luke West
Copperview Rec Center, 8446 Harrison St, Midvale, Utah 84o47
Player's Name
*
First Name
Last Name
2025-26 Grade
*
Please Select
6th Grade
7th Grade
8th Grade
9th Grade
Tee shirt size
*
Please Select
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Instagram handle (used to tag you on posts) OPTIONAL
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
List any allergies or medical conditions we should be aware of
Please provide any additional information or special requests
I hereby release all responsible parties of any liability of injury or any other physical occurrences suffered during the camp.
*
Yes, I agree.
I give Coach Landen and any media coverage outlet permission to use my child's Name, Image and or Likeness for social media posts
*
Yes, I agree.
Camp Registration Payment
prev
next
( X )
2026 Next Level Camp Registration Payment
Next Level Basketball Camp Registration Payment
$
125.00
Credit Card
I understand and agree that a 25% fee ($31.25) will be retained by Coach Landen Camps if I chose to cancel my registration once it has been submitted.
*
Yes, I agree
Register
Should be Empty: