Crossover Basketball Camp

Crossover Basketball Camp 2024

• • Crossover Basketball Camp*
    >Junior Camp (Grades 1-5 Fall 2024)Senior Camp (Grades 6-11 Fall 2024)
  • Camper Name*
    First Name

    Last Name
  • Gender*
    >MaleFemale
  • Age*
    >67891011121314151617
  • Grade (September 2024)*
    >1234567891011
  • Camper Health Card Number*
  • Does the participant have any medical concerns which requires treatment and/or medication *
    Yes

    No
  • If yes, please include details of medical condition and/or treatment needed. Example: Asthma, inhaler
  • Parent/Guardian Name*
    First Name

    Last Name
  • Home Address*
    Street Address*

    Address Line 2

    City*

    Province / State / Region*

    Postal Code / Zip

    Antigua and BarbudaBahamasBarbadosBelizeCanadaCosta RicaCubaDominicaDominican RepublicEl SalvadorGrenadaGuatemalaHaitiHondurasJamaicaMexicoNicaraguaPanamaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesTrinidad and TobagoUnited StatesArgentinaBoliviaBrazilChileColumbiaEcuadorGuyanaParaguayPeruSurinameUruguayVenezuelaAlbaniaAndorraArmeniaAustriaAzerbaijanBelarusBelgiumBosnia and HerzegovinaBulgariaCroatiaCyprusCzech RepublicDenmarkEstoniaFinlandFranceGeorgiaGermanyGreeceHungaryIcelandIrelandItalyLatviaLiechtensteinLithuaniaLuxembourgMacedoniaMaltaMoldovaMonacoMontenegroNetherlandsNorwayPolandPortugalRomaniaSan MarinoSerbiaSlovakiaSloveniaSpainSwedenSwitzerlandUkraineUnited KingdomVatican CityAfghanistanBahrainBangladeshBhutanBrunei DarussalamMyanmarCambodiaChinaEast TimorIndiaIndonesiaIranIraqIsraelJapanJordanKazakhstanNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLebanonMalaysiaMaldivesMongoliaNepalOmanPakistanPhilippinesQatarRussiaSaudi ArabiaSingaporeSri LankaSyriaTaiwanTajikistanThailandTurkeyTurkmenistanUnited Arab EmiratesUzbekistanVietnamYemenAustraliaFijiKiribatiMarshall IslandsMicronesiaNauruNew ZealandPalauPapua New GuineaSamoaSolomon IslandsTongaTuvaluVanuatuAlgeriaAngolaBeninBotswanaBurkina FasoBurundiCameroonCape VerdeCentral African RepublicChadComorosCongoDjiboutiEgyptEquatorial GuineaEritreaEthiopiaGabonGambiaGhanaGuineaGuinea-BissauCôte d\'IvoireKenyaLesothoLiberiaLibyaMadagascarMalawiMaliMauritaniaMauritiusMoroccoMozambiqueNamibiaNigerNigeriaRwandaSao Tome and PrincipeSenegalSeychellesSierra LeoneSomaliaSouth AfricaSudanSwazilandTanzaniaTogoTunisiaUgandaZambiaZimbabwe

    Country*
  • Phone Number
     

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  • Cell Phone Number
     

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  • Work Phone Number
     

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  • Your E-mail*
     
  • Emergency Contact *
    First Name

    Last Name
  • Relationship to Camper*
    >MotherFatherGrandparentAuntUncleFriendOther
  • Emergency Contact Phone Number*
     

    (###)

    -

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  • A jersey is included in the price of registration. Please select the appropriate size for the camper.*
    YOUTH SMALL

    YOUTH MEDIUM

    YOUTH LARGE

    YOUTH XLARGE

    ADULT SMALL

    ADULT MEDIUM

    ADULT LARGE

    ADULT XLARGE
  • I, the undersigned, submit that my son/daughter is physically fit to participate in strenuous athletic activity and, I waive and release Crossover Basketball Camp from any and all liability for any illness or injuries incurred while participating in the camp. I have no knowledge of any physical impairment that would be affected by the above-named athlete's participation in the camp. I authorize that the Directors act according to their best judgement in any emergency requiring medical attention. I hereby authorize the camp to use testimonials, photos, or video experts of the camper which may appear in the camp brochure or website or social pages. *
    Yes

    No
  • Signature of Parent/Guardian*
  • Payment Selection. Please allow up to 5 business days for final confirmation of registration once payment has been sent.*
    >Etransfer *Please make note of camper's nameMailing Cheque
  • Any Additional Comments
  • CANCELLATION POLICY: Please note our cancellation policy (All refunds are subject to a $20.00 administration fee): 30 days prior to the start of the week of camp, a complete refund (less administration fee) is available. 8 to 30 days prior to the start of the week of camp, a 50% refund (less administration fee) is available. Registration fee is non-refundable if cancelled within 7 days of the reserved week of camp or thereafter.
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