Registration: Blazers 2024 Summer Camps
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Email *
Please READ ALL OF THIS NOTE:
Please complete this form ONCE for each camp session you would like to register a player for.

Note for Quantum Program Players: Per the 12/22 email update, please do not select the camp week included in the Quantum program using this form...although you may register for additional camp weeks via this form.

Qualification Criteria for Summer Camps/SELECT Camps: 
1) Our regular Summer Camp ("Blazers Summer Camp") is open to all boys/girls that will be entering grades 3-10 in September.
2) Our BOYS SELECT Camp & GIRLS SELECT Camp: for qualified players that will be in Grades 7-10 in September and played on one of the following types of teams this past winter: 7th or 8th Grade Travel "A" or Travel "B" Team, 6th Grade Travel "A" Team. Note: As the program fee is non-refundable, if you have any questions regarding this criteria you should email operations@blazersbasketballclub.com before registering. 

Player Information:
Please provide the informal names of players/parents so the coaches will have that, and please use BOTH upper and lower case as appropriate (ensuring CAPS LOCK is off). For example, if the participant goes by Chris, please type Chris and not Christopher.

Confirmation Notice: 
You will receive 2 email confirmations once you submit this form - 
1) a copy of this completed registration form and 
2) the payment confirmation that has our EIN # for your tax reporting purposes. Please keep these confirmations for future reference.
Player First Name: *
Player Last Name: *
Gender:
*
DOB (MM/DD/YYYY):
*
MM
/
DD
/
YYYY
Allergies or Other Medical Conditions: please specify any and all allergies, conditions, medications, Epi Pens, etc. 
The Grade the Player WILL BE in September 2024:
*
What town is the Player from?
*
If "Other" Town, please specify town name:
Session your Player is registering for: *
(For Blazers SELECT Camp Registrations Only)
If you are registering for a Blazers SELECT Camp, please carefully review the qualification criteria above and provide VERY SPECIFIC information about the team your son/daughter played on during the Winter 23-24 season, following the very specific examples provided that identify the exact team (please do not mention a Blazers Team). Non-qualifying registrations (or those that do not provide the very specific information requested) will be moved into the Blazers Summer Camp for the associated week. As outlined in our terms below we reserve the right to move a player between groups/programs to balance the considerations of all participating players. 

Type of Team: BE VERY SPECIFIC
(ex: Freshman Team, 8th Grade Travel B Team, 6th Grade Travel A Team, etc.)
Coach Name:
Coach Email Address:
Parent 1
First Name:
*
Parent 1
Last Name:
*
Parent 1
Cell Phone:
*
Parent 1 Email Address:
*
Parent 2/Emergency Contact
First Name:
Parent 2/Emergency Contact
Last Name:
Parent 2/Emergency Contact
Cell Number:
Parent 2/Emergency Contact
Email Address:
Terms and Conditions:

General Terms: 
As the parent or legal guardian of the player/child named above, I hereby give my full consent and approval for my child to participate in this program. I understand that there are certain risks of injury inherent in the practice and play of this sport, and I am willing to assume these risks on behalf of my child. I hereby certify that my child is fully capable of participating in the designated sport and that my child is healthy and has no physical or developmental disabilities or infirmities that would restrict full participation in these activities, except as listed above. I acknowledge that it is my responsibility to be knowledgeable about concussions in youth sports (CDC has a free course at https://www.cdc.gov/HeadsUp/index.html), and that Alpha Youth Sports has provided me with a link to concussion-awareness education material. If my child has any concussion like symptoms or has sustained a head injury, I agree to visit a licensed health care professional for evaluation, and to not allow my child to participate again until cleared by the licensed professional. I understand that my medical insurance is expected to cover the cost of my child’s injuries. I grant permission to the coaches or volunteers involved with this program to seek medical care for my child in the event I cannot be reached. I agree not to hold Alpha Youth Sports, or any of the parties/facilities connected with this program, responsible for any injury or accident that may occur to my child (or anyone accompanying them) during the program, whether the result of negligence or any other cause.

Video Release: 
For good and valuable consideration, the receipt of which is hereby acknowledged, I hereby consent to the photographing of my child and the recording of my child's voice by Alpha Youth Sports, Inc. (“AYS”) during this Program. I understand that the term "photograph" as used herein encompasses both still photographs and motion picture footage. Provided that AYS does not identify my child's last name, nor town of residence, in these photographs or recordings, I irrevocably consent to the use of these photographs and/or recordings singularly or in conjunction with other photographs and/or recordings for advertising, publicity, commercial or other business purposes, as well as to the reproduction and/or authorization by AYS to reproduce and use said photographs and recordings of my child's voice, for use in all domestic and foreign markets. I hereby release AYS, and any of its associated or affiliated companies, their directors, officers, agents, employees and customers, and appointed advertising agencies or other assigned third parties, their directors, officers, agents and employees from all claims of every kind on account of such use.

Other Terms:
- All program fees are non-refundable
- I agree to familiarize myself and my child with the rules associated with the facilities used in this Program, including their usage, behavior and other rules that apply to the player and the parents, siblings, and others that accompany the player
- I understand and agree that Alpha Youth Sports may need to change my child's team, player group, or program in an effort to balance the considerations of BOTH my child AND the other participants in the program that are seeking to compete with/against players of a similar current skill level.
- I understand that if my child, or anyone accompanying them to a practice, game, or other event violates a facility rule, becomes a discipline problem, is unwilling to abide by the Program's rules/procedures, or is in any way risking the safety of (or negatively impacting the experience of) the other players in the program, my child may be dismissed from the Program, and that no money will be refunded.

Do you acknowledge your understanding and acceptance of these Terms and Conditions?
*
A copy of your responses will be emailed to the address you provided.
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