The Twelve XII Holiday Camps Registration

Registration & Payment

Turkey Day Camp — Nov 23–25 — 9 AM–12 PM

Individual half-day registration

$215.00

Christmas Break Session 1 — Dec 21–23 — 9 AM–12 PM

Individual half-day registration

$215.00

Christmas Break Session 2 — Dec 28–30 — 9 AM–12 PM

Individual half-day registration

$215.00

Turkey Day Camp — Nov 23–25 — 9 AM–3 PM

Individual full-day registration. Full-day campers must bring their own lunch.

$365.00

Christmas Break Session 1 — Dec 21–23 — 9 AM–3 PM

Individual full-day registration. Full-day campers must bring their own lunch.

$365.00

Christmas Break Session 2 — Dec 28–30 — 9 AM–3 PM

Individual full-day registration. Full-day campers must bring their own lunch.

$365.00

All 3 Camps — Half Day

Package price includes all three camps; no further camp selection needed.

$599.00

All 3 Camps — Full Day

Package price includes all three camps; no further camp selection needed.

$999.00

Drop-In Day — Nov 23

Drop-in registration

$100.00

Drop-In Day — Nov 24

Drop-in registration

$100.00

Drop-In Day — Nov 25

Drop-in registration

$100.00

Drop-In Day — Dec 21

Drop-in registration

$100.00

Drop-In Day — Dec 22

Drop-in registration

$100.00

Drop-In Day — Dec 23

Drop-in registration

$100.00

Drop-In Day — Dec 28

Drop-in registration

$100.00

Drop-In Day — Dec 29

Drop-in registration

$100.00

Drop-In Day — Dec 30

Drop-in registration

$100.00

Product Name

Free Quantity

Total

Credit Card

Note: Full-day campers must bring their own lunch.

Camper Full Name

First NameLast Name

Camper Gender

Camper Age

Current Grade

Date of Birth

Date

Height (feet/inches or cm)

Graduation Year

School

T-Shirt Size

Parent/Guardian Full Name

First NameLast Name

Relationship to Camper

Primary Phone

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Emergency Contact Name

First NameLast Name

Emergency Contact Relationship

Emergency Contact Phone

Please enter a valid phone number.Format: (000) 000-0000.

Does the camper have any allergies?

Allergy Details (description, severity, medications/EpiPen, staff instructions)

Any medical conditions, injuries, physical limitations, or other health/safety concerns?

Medical/Health Details and Instructions

Does the camper require or carry any medication during camp?

Medication Name and Instructions

Anything else our coaches should know about your camper?

Camper's Basketball Experience Level

Current Team/Program

How did you hear about The Twelve XII?

If Other, please specify

Authorized pickup person(s) besides parent/guardian

Pickup Policy Acknowledgement: I understand only authorized adults may pick up my camper.

Release of Liability and Assumption of Risk
Participation in basketball and athletic training involves certain risks, including but not limited to falls, collisions, contact with other participants, sprains, strains, fractures, and other injuries. By signing below, I confirm that my child is physically able to participate, authorize emergency medical care if needed when I or the emergency contact cannot be reached, and release The Twelve XII Basketball Academy, its owners, coaches, staff, volunteers, facilities, and event personnel from liability to the extent permitted by law. I understand I remain responsible for medical costs. This waiver does not apply where prohibited by law.

Liability Waiver Agreement

Media Release Consent
Photos and video may be taken during camp and used by The Twelve XII Basketball Academy for website, social media, promotional materials, and program marketing.

Media Release

Camp Policies & Acknowledgements
- Full-day campers must bring their own lunch.
- Parent/guardian is responsible for timely pickup.
- Parent/guardian will notify staff of health/medical changes.
- Camper agrees to follow coach instructions and appropriate conduct.

I have read and agree to the Camp Policies & Acknowledgements.

Parent/Guardian Signature

Printed Parent/Guardian Name

First NameLast Name

Date Signed

Date

I certify that I am the camper's parent/legal guardian and that all information provided is accurate.

The Twelve XII Holiday Camps Registration

Registration & Payment*

Credit Card

Registration & Payment