Gray Bee Basketball Camp Registration Form
Register your athlete for basketball camp at St. Benedict's Preparatory School, Newark, NJ.
Program Selection
Which program are you registering for?
*
Please Select
Summer Camp Session I — July 6-10
Summer Camp Session II — July 13-17
Summer Camp Session III — July 20-24
Athlete Information
Athlete's First Name
*
Athlete's Last Name
*
Date of Birth
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Month
-
Day
Year
Date
Age
*
Current Grade
*
Please Select
3rd
4th
5th
6th
7th
8th
Current School
*
AAU Team Name (optional)
AAU Coach Name and Contact (optional)
Shirt Size
*
Please Select
XS
S
M
L
XL
Shorts Size
*
Please Select
XS
S
M
L
XL
Any medical conditions, allergies, or injuries we should know about?
*
Parent / Guardian Information
Parent/Guardian Full Name
*
First Name
Last Name
Relationship to Athlete
*
Parent
Guardian
Other
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Emergency Contact Name
*
Secondary Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
*
Email
Phone
Text
Liability Waiver — I understand that participation in Hoops on King programs involves physical activity and inherent risk of injury. I hereby release and hold harmless Hoops on King, its coaches, staff, and affiliates from any and all liability for injury, illness, or loss arising from my child's participation.
*
I agree to the Liability Waiver above.
Liability & Agreements
Medical Authorization — I authorize Hoops on King staff to seek emergency medical treatment for my child if I cannot be reached. I understand I am responsible for all associated medical costs.
*
I agree to the Medical Authorization above.
Media Release — I grant Hoops on King permission to photograph and/or video record my child during sessions for use on social media, marketing materials, and the Hoops on King website.
*
I agree to the Media Release above.
Code of Conduct Agreement — I have read and agree to the Hoops on King Code of Conduct. I understand that my child may be dismissed from the program without refund for conduct that violates program standards.
*
I agree to the Code of Conduct Agreement above.
Photo ID Pickup Policy — I understand that my child will only be released to adults listed on this registration. A valid photo ID may be required at pickup.
*
I agree to the Photo ID Pickup Policy above.
Refund Policy — I understand that all registration fees are non-refundable. In the event of a program cancellation by Hoops on King, a full refund or credit will be issued based on time spent.
*
I agree to the Refund Policy above.
Signature (Parent/Guardian Full Name — typed)
*
Today's Date
*
-
Month
-
Day
Year
Date
Camp Sessions
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Gray Bee Hoops Camp Session 1
July 6-10
$
295.00
Quantity
1
2
3
4
5
6
7
8
9
10
Gray Bee Hoops Camp Session 2
July 13-17
$
295.00
Quantity
1
2
3
4
5
6
7
8
9
10
Gray Bee Hoops Camp Session 3
July 20-24
$
295.00
Quantity
1
2
3
4
5
6
7
8
9
10
Drop-In Fee
Day Drop In
$
85.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Thank you for registering with Hoops on King. You will receive a confirmation email within 24 hours. Your spot is not confirmed until payment is completed. Please complete payment at the link provided after submission.
Submit Registration
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