Clone of Summer Basketball Camp 2026

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Image Field
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Camp Selection
Full Week - October 12 - 16 (Full Week Camp / Mon - Friday/ 8am - 12pm)
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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
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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ORDER SUMMARY
Total costUSD
Camp Registration (Full Day)
8am - 12pm
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Late Pick Up
Late pickup is 1pm. 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.
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