Girls' Basketball Camp Summer 2025

GIRLS BASKETBALL REGISTRATION FORM

Girls' Basketball Camp 2025

Enroll for our Girls' Basketball Camp geared for girls 11+ years of age, and lead by Coach Fahad.

Please use this form to register for our Girls Basketball Program. You may register up to 3 girls at a time on this form. Session 1 will run from June 16- July 2 on Mon & Wed from 9:30am - 11:00am. Session 2 will run from July 7- July 23 on Mon & Wed from 9:30am - 11:00am.

I would like to enroll my student(s) for the following:*

Session 1 | Jun 16 - July 2, 2025 | M & W

Session 2 | July 7 - July 23, 2025 | M & W

How many girls would you like to register for basketball?*

Please enter a number from 1 to 3.

Student #1 Name*

First Last

Student #1 Grade (for upcoming year)*

Student #1 Date of Birth*

Student #2 Name*

First Last

Student #2 Grade (for upcoming year)*

Student #2 Date of Birth*

Student #3 Name*

First Last

Student #3 Grade (for upcoming year)*

Student #3 Date of Birth*

Summer Programs 2025 Registration

Parent/Guardian Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent Email*

Parent Cell Number*

Emergency Contact Name*

First Last

Emergency Contact Relationship to the Parent*

Emergency Contact Cell Number*

Does your child have any allergies or medical conditions? Please list any allergies, medical conditions, or special instructions. If no , please write "none."*

Total

Parent Info and Payment

Liability Waiver Form

Assumption of Risk:
I acknowledge that my child's participation in Northstar School's Basketball Program involves inherent risks, including but not limited to physical activities, outdoor play, and being on campus. I fully understand these risks and voluntarily agree to allow my child to participate.

Release of Liability:
I hereby release, indemnify, and hold harmless Northstar School, its employees, volunteers, agents, representatives, and affiliates from any and all claims, liabilities, demands, damages, and expenses arising from or related to my child's participation in the Summer Program, except in cases of gross negligence or intentional misconduct by the school or its representatives.

Medical Authorization:
In case of medical emergency, I authorize Northstar School to seek immediate medical attention for my child. I understand that efforts will be made to contact me or the emergency contact listed above as soon as possible.

I agree to all of the terms above.

Signature for Liability Waiver*

Code

Not required. Only applicable for special circumstances.

PAYMENT INFORMATION*

REGISTRATION PAYMENT CONFIRMATION

* Click "Submit" to submit your payment and finalize your registration.