Girls Midwest Spotlight National Exposure Camp Registration

CAMP ONE > Girls Midwest Spotlight National Exposure Camp Registration

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Step 1 of 2

Parent/Guardian's Name*

First Last

Phone*

Email*

PLAYER INFORMATION

Participant Name*

First Last

Date of Birth*

Gender*

Male

Female

What is your Uniform Size*

Grade*

as of school year 2024-2025

What school do you currently attend?*

What position do you play?*

What is your Graduating Class?*

AAU/Travel Team Name (If none, type N/A)*

Social Media user name?*

(Instagram or Twitter)

Address*

Address Line 1 Address Line 2 City State ZIP Code

EMERGENCY CONTACT

(Optional)

Name

First Last

Phone

WAIVER

Terms & Conditions*

I release all liability and responsibility.

I acknowledge the potential risk of my participation.

In the occurrence of a medical injury or illness, I release Camp One LLC and/or any camp one professional athlete or staff member from any liability sustained during my participation during the Camp One Basketball Camp. It is understood that authority is given to the Camp One camp director or their designee, to have my son/daughter treated for injuries or illnesses they incur during a Camp One camp. In the event that I cannot be contacted, I hereby give my permission for the Camp One director or their designee to seek advanced medical treatment for my son/daughter as deemed necessary by medical personnel. I understand that Camp One insurance coverage is on an “excess” basis only and I will be responsible for any expenses outside the limits of Camp One’s insurance. Visit our Teams & Conditions Page for more Details.

Signature*

PAYMENT

Registration Fee*

Price:

Coupon

Total

Credit Card*

Cardholder Name

Card Details