Pre-Registration Form
Please print out a copy of this form and mail with your payment to secure your camp, clinic, peewee, or private workout session.
Please note an asterix (*) indicates a required field.
Please print out a copy of this form and mail with your payment to secure your camp session.
*First Name:
*Last Name:
*Address1:
Address2:
*City:
*State:
*Zip Code:
*Phone Number:

( ) -

*Email Address:

*Birthdate:

Grade In Fall:

*Camp Session:

OR
 *Workout
*Location:

*Basketball Level:

Beginner Intermediate Advanced

Allergies/Medication:

Parent/Guardian Name:

Emergency Contact:

How did you hear about us?

The undersigned parent/guardian of give(s) permission for my/out child to participate in this sports activity. I/we acknowledge the activities which our child will be engaged in and understand that Definitely Sports, Inv. (DSI) assumes no liability for any injuries to the person or property of my/out child. In consideration for the opportunity for my/out child to participate in camp, I/we do hereby release to forever discharge DSI, its successors, sponsors, assigns, agents, and employees/volunteers from all damage arising out of the sports activities which my/our child to participate in this sports activity, the undersigned hereby agrees to protect DSI against any claims of damage, compensation or otherwise on the part of our child or any other party, arising out of or resulting from injury to my/out child in connection with any camp activity and to reimburse or make any loss or damage or cost that DSI may have to pay if any litigation arises from said injuries.

Parent/Legal Guardian: Date:

Please return registration for with check made payable to:
"Definitely Sports All Star Basketball Camp"
130 W. Main Street, Suite 144 #307
Collegeville, PA 19426
Phone: (610) 888-6097