Camp Pre-Registration

Power Basketball Camp est. 1991

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Camp Pre-Registration

Camp Pre-Registration

Pre-register and join the waiting list for our fall training camps beginning in October. Sessions are every Monday for six weeks. Beginners (age 8-12) at 6:00-7:30 pm and Youth (age 12+) at 7:30-9:00 pm.

Which location are you interested in? *

Durham
Markham

Name *

First

Last

Phone Number *

ex. 645-123-4567

Email *

Address

Height

cm/in

Weight

lb/kg

Age

Parent's or Guardian's Name

First

Last

Emergency Contact Name *

First

Last

Emergency Contact Number *

Family Doctor Name

First

Last

Family Doctor Number

Health Card Number (Optional)

Allergies & Health Issues

Shoe Size

T-Shirt Size

Shorts Size

Ball Playing Skills

Competitive
Intermediate
Beginner

Summer Camps (Limited Space Available) *

July 2nd Week
July 3rd Week
August 1st Week
August 2nd Week

Which Package are you interested in? *

How Did You Hear About Us? *

Referral Name (if applicable)

First

Last

Other (if applicable)

Parental Consent *

I, the parent(s) understand that accidental injuries may result from participation.
I, the parent(s) understand that since all of the students attending POWER CAMP are under 19 years of age, it is necessary that our therapist/coaches have parental permission to administer treatment in the event of an accident or sudden illness.
I hereby release: S.E.E. Promotions and any or all of its staff, volunteers, sponsors and affiliate organizations from any and all legal claims which might arise from my child(s) participation
All photos and video taken during camp operations will be used to promote the camp widely through media and by participating in the camp you are permitting the images of the participant to be used at the discretion of S.E.E. Promotions and it's affiliates

(All must be selected to participate)

PowerCamp Basketball

Contact Us

Coach Donovan Dill

416-873-3055

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