Summer Basketball Camp, June 27-July 1

SBS Basketball Camp

Please fill out the following form and submit to register for the SBS Summer Basketball Camp--June 27-July 1, 2022. Please submit one form per child.

Beginner Skills Camp, June 27-July 1 
Ages: Kindergarten-5th grade 
When: K5-2nd, 9:00-10:00 a.m.; 3rd-5th grade, 10:15 a.m.-11:30 a.m. 
Cost: $95 (includes t-shirt) 

Intermediate & Advanced Camp (Combined), June 27-July 1 
Ages: 6th-8th Grades; 9th-12th Grades 
When: 1 p.m.-4 p.m. 
Cost: $95 (includes t-shirt)

Contact: Coach Justin Ratanataya, [email protected]

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Beginner Skills Camp (K5-2nd): 9am–10am, $95

Beginner Skills Camp (3rd-5th): 10:15am–11:30am, $95

Intermediate Camp (6th-8th): 1pm–4pm, $95

Advanced Camp (9th-12th): 1pm-4pm, $95

CAMPER'S Information

Full Name*

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2022-2023 Grade Level*

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Date of Birth*

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Gender*

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Male

Female

Can child be photographed? (See below for additional information)**

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Yes

T-Shirt Size*

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List any allergies or medical conditions*

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PARENT'S Information

First and Last Name*

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Street Address*

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City / Zip / State*

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Phone 1*

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Phone 2

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Email*

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EMERGENCY CONTACT (Alternative)

First and Last Name*

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Email*

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Phone*

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Street Address

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City / Zip / State

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Payment Option (Camps are $95 per athlete.)*

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Bill me in FACTS (SBS students only)

Pay by check (Due by first day of camp)

ACCIDENT/INJURY Release Agreeement

I assume risk of harm or injury which may occur to the participant as a result of participating in any SBS Camp and any activity therein. I hereby release StoneBridge School and its faculty, staff, and volunteers from any liability, costs and damages resulting from this indvidual's participation. I also give my consent for StoneBridge School to seek emergency treatment for the participant if necessary, and I agree to accept financial responsibility for the costs related to this emergency treatment.*

Answer Required

I have read and understand the above statement.

PHOTO Release Agreeement

I authorize StoneBridge School to use images, photographs, student work or other creations by my child for pormotional materials and/or the school's website. I release StoneBridge School from all liability in connection with such use. I understand that StoneBridge School will not compensate my child or me for the use of said images/products.*

Answer Required

I have read and understand the above statement.

Please fix the highlighted areas below before submitting.

Summer Basketball Camp, June 27-July 1