Summer Hoop Camp (July 24-27)
PLEASE COMPETE ONE FORM PER FAMILY
Sign in to Google to save your progress. Learn more
Email *
Player First Name *
Player Last Name *
For players entering grades 3-9 this Fall.
Child's grade (as of Fall 2023)
 *
Town *
Gender *
Cost for the week is $190.  All proceeds from this camp week go to the Ayer-Shirley high school basketball programs (Coach Kilpatrick is the boys varsity coach at Ayer-Shirley).  

This camp is identical to the other 5 weeks of Elevation Summer Camp with the exception that it takes place at Ayer-Shirley High School (instead of Acton-Boxborough High School) and that registration is through Elevation Basketball instead of A-B Community Education.

Please indicate your method of payment.
 *
Name of parent / guardian *
Email *
Street Address *
Town and Zip Code *
Home Phone *
Parent Cell Phone *
Please describe any pertinent medical information you would like us to be aware of: *
I authorize the Director / Coach of Elevation Basketball Academy to act according to his best judgment in any emergency medical situation. Please include note explaining any medical conditions.The participant attending the Clinics, and in using the facility, does so at his/her own risk. The ELEVATION BASKETBALL ACADEMY and its staff shall not be liable for damage arising from personal injury sustained by the participant during the clinics. The participant and his/her parents assume full responsibility for any damages or injuries which may occur and so hereby exonerate the Elevation Basketball, the site location of the clinics and practices, and all employees from any and all claims. Also I/We hereby consent to the participation of our son/daughter in the Elevation Basketball Academy. (BY TYPING YOUR NAME IN THE SPACE BELOW YOU ARE AGREEING TO THE ABOVE WAIVER) * *
COVID-19/ WARNING & DISCLAIMER: Covid-19 is a contagious virus that spreads through person-to-person contact.  Federal and state authorities recommend social distancing.  Covid-19 can lead to illness, personal injury, disability and possibly death.  Participation in this program could increase the possibility of contracting Covid-19.  Elevation Basketball Academy in no way warrants that Covid-19 infection will not occur through participation in this program.  (BY TYPING YOUR NAME IN THE SPACE BELOW YOU ARE AGREEING TO THE ABOVE WAIVER) * *
Photos  & Videos: During the course of an event Elevation Basketball Academy may take photos or videos for use on their website.  Is this ok? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Acton-Boxborough Regional School District. Report Abuse
Google Forms