Reach Beyond Basketball

Address *

Grade entering 2024-2025 School year *

How did you hear about Reach Beyond? *

Current School *

Parent Name *

Waiver *

By checking this box, I acknowledge that I am the parent or legal guardian of the participant on this form. I also acknowledge that the participant assumes all risks associated with participation in the Reach Beyond Basketball program. Reach Beyond Basketball INC, nor any staff assumes liability for incidental injury or damages arising from participation in this program. Due to the strenuous nature of some activities, it is encouraged for participants to consult a physician for any health concerns before participation. The participant consents to emergency treatment if needed, and parents/emergency contacts will be notified if treatment is necessary. The participants consents to Reach Beyond Basketball INC's use of any photographs or videos taken during the program. The parent or guardian approves of his or her participation in the program by checking the box above. Instructors and staff are not responsible for children prior to the start of the program or after the program ends.

Participant First Name: *

Emergency Contact Phone *

To register, fill out the form below and submit. After registration is submitted, please click on the paypal button below to make a payment.

RB Summer Basketball Camp is $250.00.

For more details about programs, click the Programs tab

T-Shirt Size *

RBB Summer Camp Individual Registration

$250.00

Parent Email *

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Participant Last Name *

Emergency Contact Name *

Medical Concerns

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RB Summer Basketball Camp June 24-28

Parent Phone *

REGISTRATION FORMS

Choose a program from the dropdown menu below