Grades 2-4 & 5-7 (Limited Space Available)

Half Day(9am-12pm – FULL) $125 & Full Day (9am-3pm FULL) $200

NEW DIVISION! (12PM-3PM – $125 space still available!)

Jerseys $25 (All players must wear South Langley Reversible Jersey. If you have a blue and white South Langley Jersey then you DO NOT have purchase one.)

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. Please note that ALL players must have South Langley Basketball Jersey.

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Participant's Full Name

Camp Choice

School

Grade

Participant's Date of Birth

Parent's Name

Phone Number

Address

Email Address

Postal Code

Medical Condition

Emergency Contact (Name & Phone Number)

Do you need to purchase a jersey? ($25)

How did you hear about us?

Method of Payment

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)

DID YOU CLICK SUBMIT?

PLEASE CLICK THE SUBMIT BUTTON ABOVE BEFORE PROCEEDING.

Half Day

Full Day

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.

Your message has been sent

DID YOU CLICK SUBMIT?

PLEASE CLICK THE SUBMIT BUTTON ABOVE BEFORE PROCEEDING.

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