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2024 Lady Raven Basketball Youth Basketball Camp Enrollment
Lady Raven Basketball Camps will take place the Week of June 10-14th.
Please completely fill out the following and submit.
Your enrollment will not be complete until your Credit Card payment (via PayPal)... OR... Check (via the mail) is received for your athlete(s) camp fee(s) of $75 (or deposit of $35). If you pay by Check, please make it out to JOEL BRANSTROM. A Confirmation email will be sent to the email address you provide once payment has been received.
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Email
*
Your email
Camper's LAST Name
*
Your answer
Camper's FIRST Name
*
Your answer
Which Session Do You Wish to Attend?
*
Session 1: 8:00-10:00am Beginner/ Intermediate (Recommended for Grades entering 1st-5th +) or Session 2: 10:30am-12:30pm Intermediate/ Advanced (Recommended for Advanced 5th Graders & those entering 6th-8th)
Session 1 @ 8-10am (June 10-14th)
Session 2 @ 10:30am-12:30pm (June 10-14th)
Grade Entering Fall of 2024
*
1st
2nd
3rd
4th
5th
6th
7th
8th
Other:
What School Will they Attend in the Fall of 2024?
*
Your answer
Parent/ Guardian Names
*
Your answer
Please Confirm email:
*
Your answer
Preferred Emergency Phone Number
*
* with Contact Name (& relationship) * Ex. (913) 987-6543 John (dad)
Your answer
Secondary Emergency Phone Number
*
*with Contact name (& relationship)
Your answer
Any Medical Issues we need to be aware of?
*
* If "yes" click on "Other" and please describe the condition along with what we need to know.
None
Other:
Required
Camper T-Shirt Size:
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Required
Consent
*
I hereby agree to accept full and complete responsibility for all medical or other expenses necessary as a result of injury during the Olathe Northwest Lady Raven Basketball Camp. I also agree to release Olathe Public Schools and all camp staff from liability for injuries or accidents that might occur due to participation in camp activities, or that result in transit to or from Olathe Northwest Basketball Camp. I understand that this camp is not a school sponsored event.
Agree
Disagree ...If "Disagree" we will need documented rationale of your refusal to agree along with your signature
Required
Registration/ Payment Confirmation
*
I understand my registration will not be complete until Coach Branstrom receives payment via PayPal, Venmo... OR... Check (via the mail) and then I will be given a confirmation email that my child's registration has been accepted.
Yes, I'm sending a check as payment
Yes, Venmo ( @OlatheJTL ) the last 4 digits to cell # is 6312 if needed
Yes, Payment via PayPal (a link to do this will appear after you hit submit)
No, I need more info (Coach Branstrom will email you if you mark this)
Required
If you plan to pay by check, Please make your Check or Money Order to : JOEL BRANSTROM
Please send Check/ money order of $75 (or $35 nonrefundable deposit) to: 25208 W 97th Terr., Lenexa, KS, 66227
Your answer
If you prefer to pay by Credit Card/ PayPal you will get a chance once you hit the "Submit" button below.
Your answer
Is there anything else you would like us to know about?
*If you have further questions, please email Coach Branstrom at:
jbranstromonw@olatheschools.org
Your answer
A copy of your responses will be emailed to the address you provided.
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