Middle School Elite Basketball
We invite rising 7th, 8th, and 9th graders to enhance their basketball skills while getting an early introduction to the Fighting Irish Basketball Program. Please note this is an elite-level and intense basketball summer program. Cost is $150.00 per player for all 6 sessions.
Participant's Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
-
Area Code
Phone Number
Current School
*
Height
*
Grade in Fall 2024
*
Please Select
7th Grade
8th Grade
9th Grade
Position
*
Guard
Wing
Post
T-Shirt Size
*
Small
Medium
Large
XL
XXL
Payment
*
prev
next
( X )
Middle School Basketball
$
150.00
Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Medical Release
I verify that [participant]
Participant
Is medically insured with
Provider
Policy number
Policy Number
Has dental insurance with
Provider
Parent Signature
The above insurance effectively covers any medical or dental cost incurred as a result of participation, I authorize the coaching staff to seek any necessary emergency medical or dental treatment my child may need during the course of camp.
*
Current Medications
Current Allergies
Acknowledgement of Risk
As the Parent/Guardian of [participant]
*
I acknowledge the potential risk of injury related to participating in the physical activities associated with participation in this basketball program. I knowingly and voluntarily on behalf of the camp participant accept the risk of all such injuries that could occur due to participation in the camp.
*
Upload pictures of the front and back of insurance card
Browse Files
Cancel
of
Submit
Should be Empty: