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SUMMER BASKETBALL CAMP – Registration
SECTION 1 — PARENT / GUARDIAN INFORMATION
Parent / Guardian Full Name
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Parent / Guardian Email Address
*
Parent / Guardian Phone Number
*
SECTION 2 — PLAYER INFORMATION
Player Last Name
*
Player First Name
*
Player Date of Birth
*
Player Current Grade
*
Player Gender
*
SECTION 3 — PROGRAM SELECTION
Which session are you registering for?
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Registration Fee
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A
Pay per session - $65
How did you hear about our program?
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A
Advertisement
B
Friend
C
Website
SECTION 4 — WAIVERS
Liability Waiver
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I acknowledge and accept the risks associated with participation in CYAA Up-State Allstars basketball activities.
Photo / Video Release
*
I grant permission for photos and videos of my child to be used for team and promotional purposes.
Refund Policy Acknowledgment
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I understand that registration fees are non-refundable once the season begins.
Complete Registration & Payment
EARLY BIRD SPECIAL!!
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SUBMIT REGISTRATION
I have completed payment using the option above. If payment is not completed, your registration is not processed and your spot is not held.
*
Yes
Questions or issues? Contact us at
CrosbyYouthAthletics@gmail.com.
Submit Form
