Registration Form

Registration Form
Camper Information
Camper's Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
Grades: 3rd - 12th
Gender*

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please select a T-Shirt Size*

Small - YouthMedium - YouthLarge - YouthXL - YouthSmall - AdultMedium - AdultLarge - AdultXL - AdultXXL - Adult
Parent/Guardian Information
Name

First NameLast Name
Home Number
Cell Number
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Alt. Phone Number
Does the athlete have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the athlete prescribed an inhaler? If yes, please explain any instructions.
Informed Consent and Acknowledgement

I hereby provide my consent for my child's participation in all activities organized by the The Gold Standard Basketball Camp during the chosen camp session. By accepting my child's participation, I acknowledge and accept all the potential risks and hazards associated with these activities. I release, exempt, and indemnify The Gold Standard basketball Camp and all its officials, representatives, and agents from any responsibility for injuries that may occur to my child during their travel to, engagement in, or return from the camp sessions.

If my child sustains an injury, I waive any claims against The Gold Standard Basketball Camp, including its coaches, affiliates, fellow participants, supporting organizations, advertisers, and, if applicable, the owners and landlords of the premises where the event is held. Engaging in sports activities, including basketball, inherently carries a risk of injury, which may include but is not limited to fractures, paralysis, or even fatality.
Signature of Parent/Guardian
Waiver Form - Release for Medical Treatment

Since most of the athletes attending this camp are under the age of 18, it is necessary that our staff members have parent's permission to administer treatment in the event of an accident or sudden illness.
Name of Athlete

First NameLast Name
Emergency Phone Number (Day)
Please enter a valid phone number.
Emergency Phone Number (Evening)
Please enter a valid phone number.
Date of Last Immunization
Allergies (list all)
Insurance

All participant's require INSURANCE COVERAGE. In most circumstances, Family health is adequate.
I have the required Insurance Coverage

YesNo
Insurance Company
Policy #
Signature of Parent/Guardian
Payment

Processing Fees of 2.9% + 30 cents applied. American Express not accepted.

Boys Camp - June 8-11, Girls Camp - June 15-18*

Camp Fee - Day CampSpecial Offer - Save 15%!!!

$175.23

Camp Fee OVERNIGHT

$283.30

Little Dribblers

$41.46

Team Discount Camp FeeMinimum 5 Campers for $800 - Each additional camper $100

$823.50 Quantity

Total

$0.00

Payment Methods

Credit Card

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Registration Form

Waiver Form - Release for Medical Treatment

Insurance

Payment

Payment Methods