Pure Skills Summer Basketball Camps - Registration Form
To register: 

Fill out this form, click submit and make payment using Venmo @Jesse-Krasna or by PayPal on the camp website.
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Email *
Camper First Name *
Camper Last Name *
Camper School
Camper Grade (as of Sept 2024) *
Parent Emergency Cell Phone # *
Please check all camps that you are registering for... *
Required
Camper Gender *
Basketball Experience Level *
Camper T-Shirt Size *
Method of Payment *
Amount Paid *
Is there anything else we should know about your child? (i.e. inhaler, medical condition, etc)
How did you hear about our camp?
As the parent or guardian of the participant named on this registration form who is a minor, I accept and assume any and all risks associated with his/her/their attendance and participation in the camp and its activities. I understand that my child(ren) must abide by camp policies and the instructions of the camp staff. I agree that should my child be dismissed from camp no part of my tuition will be refunded. I understand that no reduction in the tuition will be made for late arrival, early departure, vacations, illness, or injury. In the event that I cannot be contacted in an emergency, I hereby grant Pure Skills Basketball Camp staff permission to give immediate assistance and/or take my child to the hospital emergency room. Permission is hereby granted for photographs and or videos to be taken of my child at camp and Pure Skills Basketball Camps has the right to utilize these in our brochures, videos, slide shows, web site, and other camp materials. Knowing these facts and in consideration for your accepting my child(ren)’s application, Pure Skills Basketball Camp, Council Rock School District, the Newtown Athletic Club and Charger Nation are not responsible for accidents, injuries, and/or medical or dental expenses arising from my child(ren)’s participation in the camp and, accordingly, I Covenant not to sue, and waive, release, and discharge Pure Skills Basketball Camp, Council Rock School District, Newtown Athletic Club, Pickup USA, Charger Nation and anyone working on their behalf from any and all claims of liability or expenses of any kind or nature whatsoever arising out of or relating to my child(ren)’s participation in the camp. I have carefully read all of the information in this application and agree to all conditions. By clicking "yes" I agree to the above terms. *
Name of person filling out form *
A copy of your responses will be emailed to the address you provided.
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