And1 Camp Registration

And1 Academy basketball camps are designed to engage your child in not only the fundamentals of basketball but in a fun, creative and innovative way. 

January 7th  to January 11th (Monday through Friday) Cost: $150

Time: 1:00pm – 4:00pm

Girls and Boys 1st grade through 8th grade

Player Name(required)

Parent Name(required)

Phone(required)

Your Email (required)

Gender
MaleFemale

Date of Birth

Current Grade

Player Level (5 being most skilled)
12345

T-shirt Size
YSYMYLASAMALAXL

Please indicate which camp(s) you would like to attend
January 7 - January 11, 2019
June 2019 DATES TBA
August 2019 DATES TBA

Please note any physical limitations or medical conditions

Emergency Contact
Name

Phone

RELEASE INFORMATION: I, the undersigned, on behalf of myself and the child I am hereby registering, are aware of and understand the danger inherent in basketball. Risks include but are not limited to injury due to falls, collision or illness. I voluntarily release and hold harmless And1 Academy, the San Marcos Youth Basketball League, the City of San Marcos, and volunteers from and against any liability. I understand this waiver is binding upon the participant’s heirs and dependents as well as myself. In the absence of a parent/guardian, I give permission to the coach/league officials to seek emergency medical treatment for this child.

I accept the Terms of the Above Release Information:

THE NEXT PAGE WILL SEND YOU TO OUR ONLINE PAYMENT FORM

Mail registration forms and checks to: And1 Academy. 1797 Camden Place, San Marcos, CA 92069. Please make checks payable to And1 Academy.

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