Warrior Summer Ball in the Burg 2022
Parents of students entering 3-12 grade, please complete this form for your player! This will allow us to get a good count and plan for our summer basketball program.

Full participation is urged so the time will be most effective for our teams & programs.

Please note this form covers multiple components of summer basketball:

1. Otter Basketball Camp with Elite Trainer Jason Otter June 6-9 M-Th,
--entering 4th-7th 8am-12pm,
--entering 8th-12th, 1pm-5pm.
--$250 per player. (This usually costs $575 per camper)

2. Otter Shooting Camp, Friday, June 10th 6th-12th grade, 8am-1pm $160
3. LA Summer Sessions below--included with Otter Camp fee OR $20 per week.

730am-12pm students entering 3rd-6th grade
1230pm-5pm students entering 7th-9th grade
Lunch will be provided daily for both groups
Students may sign up for as many weeks as they'd like.
WEEK 1: June 20-23 M-Th
WEEK 2: June 27-30 M-Th
WEEK 3: July 18-21 M-Th
WEEK 4: July 25-28 M-Th
Essentially $250 gets your player a week with an Elite Trainer and 4 additional weeks this summer of a place to be, ball training, other games and activities, and lunch!

We desire 100% participation, especially in Otter Camp!

Beginning Wednesday, the payment link will be live AT THE WEBSITE STORE HERE: https://legacyacademy-827568.square.site/ 

Sign in to Google to save your progress. Learn more
Email *
Player's Name: (Last, First) *
Date of Birth: *
MM
/
DD
/
YYYY
Grade Entering next year: *
Sex *
Register my player (entering 4th-12th) for Otter Camp M-Th, June 6-9th. The $250 fee will be collected separately or can be paid online at the school store. This fee also covers ALL additional 4 weeks of summer basketball.
Clear selection
Please register my player for these dates (The cost of these 4 weeks is included in cost of Otter Camp. If you paid for Otter Camp they are FREE. If your athlete does not attend Otter Camp, these weeks are $20 per week.) *
Required
EXTRA ADD ON: Register my player (entering 6th-12th only) for the 1 DAY Shooting Camp with Jason Otter ONLY on Friday, June 10th 8am-1pm. (Can pay later or on website. $160)
Clear selection
Player's T-shirt Size:
Player Food Allergies or other medical conditions: *
Parent Name: (Last, First) *
I am available and willing to help with basketball this summer:
Clear selection
If you are willing to help, please note here any times you are not available, etc.
Best Number to Reach Parent: *
I hereby give my consent for the above-named student to participate in the Summer basketball hosted by Legacy Academy. I realize that there is a degree of danger involved in almost any activity associated with sports, recreation, or physical activities and will not hold Legacy Academy or any coaches, personnel, or volunteers responsible for injury or harm to my child. If emergency medical action or treatment is required and neither parent nor guardian can be contacted, I hereby give my consent for the student named above to be administered medical care by the physician or licensed hospital deemed most expedient by the coach or program representative in charge for the good of my child. The local fire department or paramedic unit may be used or students may be transported to the nearest emergency facility. I understand that I am fully responsible for any expenses associated with or resulting from medical care administered to the above-named student (which might also include ambulance service) and agree to assume the financial responsibility for such services.  I also understand that my child may be photographed, videotaped, or audiotaped by a program representative, parent volunteers, or public media personnel.  I give my permission to release any photographs, video images, or audiotapes of my child taken during the program, for use in publications, website, social media, as well as public media use. In signing this application, we as parents/guardians realize we are entering into a contract with Legacy Academy (LA)  agreeing to familiarize ourselves with, abide by, and support the policies and rules established for the program. I acknowledge that my child may not be left unsupervised at the gym and should be picked up and dropped off at appointed times. We agree to follow the rules and be responsible for all incurred fees. This consent and authorization is to continue for all dates of operation for the entire program.       *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of LegacyMail. Report Abuse
Google Forms