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Be A Champion Basketball Camp
On-Line Application
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Indicates required field
Camper's Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Email
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Parent/Guardian Name
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First
Last
School
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Entering Grade
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Gender
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Medical Conditions (or None)
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Additional Information
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Camp(s) You Are Interested In Attending
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Point Guard Camp - June 27-July 1
Basketball Academy - July 18-July 29
Are You Part of Champions AAU?
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No
Yes
Terms and Conditions
(1)
I hereby authorize the Directors of Be A Champion Basketball Camp to act for me according to their best judgment in any emergency requiring medical attention. I have no knowledge of any physical impairment that would be affected by the above named in participation in the program. And I hereby waive and release Be A Champion Basketball Camp from any and all liability for any injuries.
(2)
For my child’s safety I agree to drop off and pick up my child in the gym on time.
(3)
The undersigned parent or guardian consents to the use of any photographs of the player(s) to be used in advertising or promotion.
(4)
Be A Champion Basketball Camp reserves the right to dismiss any player whose conduct is unsatisfactory. Be A Champion Basketball Camp is for well-adjusted players who treat others with respect and value each player’s right to a positive experience.
My child has my permission to attend the BE A CHAMPION BASKETBALL CAMP. I agree to pay all enrollment fees based on the prices indicated. I understand that BE A CHAMPION BASKETBALL CAMP, Kareem Guilbeaux, or anyone associated with the camp does not assume responsibility or liability for accidents, medical, dental, or any other expenses incurred as a result of attendance at this camp.
* You must "Accept" these Terms and Conditions before proceding with your registration.
** Making a payment at this time for the sessions you are interested in attending is the only way to guarantee your enrollment at the camp.
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Champions AAU Players
who wish to attend our camp should complete this On-line Application Form and accept the T&C's on this page. Doing so will automatically take you to the general camp payment page. Do not make a payment on that page. To make a payment, please follow the link and instructions sent to you in a private email. That email will provide you with a link to the AAU Camp Payment page and a password that will be required to proceed with your on-line camp registration and payment.
Terms & Conditions
*
Accept
Continue and Make Payment