Gr. 2-4 Spring Camp

Please fill out the form below. Once you have completed it, click submit and this will take you to another page that confirms your information. Then please click on BUY NOW to be able to pay by credit card.

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Participant's Full Name

School

Grade

Participant's Date of Birth

Parent's Name

Phone Number

Address including postal code

Email Address

Emergency Contact (Name & Phone Number)

If you are not paying via credit card please let us know your payment method.

By clicking the checkbox, I certify that I have read and agree to the waiver release form for the program (this is located below or under the program tab)

PLEASE CLICK SUBMIT FIRST & BUY NOW ON THE NEXT SCREEN.

Release Statement: in consideration of the acceptance of the application for registration, I intending to be legally bound, hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against South Langley Basketball Association or its representatives and/or assignees, for any and all damages which may be sustained and suffered by me in connection with my association with or entry in this league and which may arise out of my traveling to, participating in or returning from the league. I also agree that any photographs taken during hoops sessions may be used on the Brookswood Hoops & South Langley websites/facebook page/twitter.

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