Coach Landen East Side Youth Basketball Camp, June 23-24, 2026 3p-5p
2nd Annual East High School Main Gym, 840 s. 1300 e., SLC 84102
PLAYER'S NAME
*
First Name
Last Name
2026-27 GRADE
*
Please Select
5th
6th
7th
8th
WHAT SCHOOL WILL THE PLAYER ATTEND IN 2026-27
*
PLAYER EXPERIENCE
*
Please Select
NO COMPETITIVE EXPERIENCE
BANTAM TEAM ONLY
AAU EXPERIENCE (LOCAL ONLY)
AAU EXPERIENCE (LOCAL & TRAVEL TEAM)
PARENT OR LEGAL GUARDIAN NAME
*
First Name
Last Name
PARENT OR LEGAL GUARDIAN CONTACT NUMBER
*
Please enter a valid phone number.
Format: (000) 000-0000.
PARENT OR LEGAL GUARDIAN EMAIL
*
example@example.com
I HEREBY GIVE MY AUTHORIZATION FOR THE USE OF MY PLAYER'S, IMAGE AND OR LIKENESS FOR MARKETING AND SOCIAL MEDIA WITHOUT ANY FORM OF FINANCIAL COMPENSATION
*
YES, I AGREE
BY CHECKING THE BOX BELOW, I RELEASE ALL PARTIES INVOLVED WITH THIS EVENT OF ANY LIABILITY OR INJURIES SUSTAINED DURING THIS EVENT
*
YES, I AGREE
I UNDERSTAND MY PLAYER MUST BRING THEIR OWN BALL AND WATER BOTTLE TO CAMP
*
YES, I UNDERSTAND
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Eastside Camp Registration
Eastside Camp Registration June 23-24, 2026
$60.00
$
60.00
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Credit Card
I understand and agree that a 25% fee ($15) will be retained by Coach Landen Camps if I chose to cancel my registration once it has been submitted.
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Yes, I understand
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