Clone of September 26 Basketball Camp Registration

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Image Field
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Camp Selection
Full Day Week 7
Session 7 AM: July 6-9th 8:30pm - 12pm
Session 7 PM 12:30pm - 4pm
Session 8 AM: July 13-16 : 8:30am - 12:00pm
Session 8 PM: July 13-16 : 1pm - 4pm
Full Day Week 8
Session 9 PM: July 20 - 23 : 8:30am - 12:00pm
Session 9 PM: July 20 - 23: 1pm - 4pm
Full Day Week 9
Session 10 AM: July 27 - 30: 8:30am - 12:00pm
Session 10 PM: July 27 - 30 : 1pm - 4pm
Full Day Week 10
Session 11 AM: August 3-6 Full Day : 8:30am - 12:00pm
Session 11 PM : August 3-6 Full Day 1pm - 4pm
Session 11 Full Day
ALL JUNE (4 SESSIONS)
ALL JULY (4 SESSIONS)
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Athlete 1* This field is required.
First Name
Last Name
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Athlete 2
First Name
Last Name
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Best Contact Email* This field is required.
example@example.com
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Best Contact Phone (Call/Text* This field is required.
Please enter a valid phone number.
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Division* This field is required.
Please Select
Please Select
7th-8th
5th - 6th
3rd - 4th
K -2nd
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Parents Name* This field is required.
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Best Contact Phone?* This field is required.
Please enter a valid phone number.
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How did you hear about the basketball camp?* This field is required.
Social Media
Friend/Family
Flyer
Website
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🔹 Acknowledgment of Risk* This field is required.
I, the undersigned parent/guardian, acknowledge that participation in basketball activities, practices, training sessions, games, and related events with Tx Supreme Fall Ball League (Lead Through Athletics) at 4 Quarters Gym involves risks, including but not limited to: falls, collisions, physical contact, sprains, broken bones, and other injuries. I understand these risks are inherent to the sport and cannot be eliminated.
I do not agree
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🔹 Waiver & Release* This field is required.
In consideration of my child’s participation, I hereby release, waive, and discharge Tx Supreme Fall Ball League, Lead Through Athletics, 4 Quarters Gym, coaches, staff, volunteers, and affiliates from any and all liability, claims, or demands for personal injury, property damage, or wrongful death arising from participation in league activities, whether caused by negligence or otherwise.
I do not agree
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🔹 Medical Treatment Authorization* This field is required.
I authorize Lead Through Athletics and 4 Quarters Gym staff/volunteers to seek emergency medical treatment for my child in the event of injury or illness. I agree to be responsible for any associated costs.
I do not authorize
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🔹 Insurance Responsibility
I understand that Lead Through Athletics and 4 Quarters Gym do not provide medical insurance for participants and that it is my responsibility to carry appropriate coverage for my child.
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Parent/Guardian Signature
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Any additional comments or needs we should know about?* This field is required.
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Date Signed
Date
Month
Day
Year
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My Products
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My Bag
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My Bag
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$20
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Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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$20
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ORDER SUMMARY
Total costUSD
Full Week Half Day Camp Registration (Mon - Thur)
Mon - Thursday 9am -1pm or 1pm - 4pm (Sibling Discount Price on 2nd Camper
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1 Week Camp Registration (Full Day)
9am - 4pm Full Day Camp
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Late Pick Up
Late pickup is 3pm. Please have a lunch provided for your child.
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Total cost
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Payment Methods
Fastlane Checkout
Choose from one of the PayPal options to make your payment.
Contact Info
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