Heritage Basketball Camp

Camp Registration

July 15th-18th ($100.00)
July 15th-18th
9 AM-12 PM
Ages:1st-8th grade

Name

Gender

Male
Female

Date of Birth

2018-19 School Grade

Phone Number

Address

Emergency Contact

Relationship to child

Emergency Contact Number

Credit Card Fees

$0.00

Running Total

$0.00

Waiver of Liability - Parent/Guardian of the player

I understand that the Heritage School & the Atlanta Sports Institute (who operates ATL Futsal, Connect Sports & Connect After School), leagues, camps, and programs are physically demanding and I certify that my child is in a condition to participate fully in the program.

I have read and agree to the terms above.

Likeness Statement

By my registration for the Heritage Basketball Camps (operated by Atlanta Sports Institute Inc), academies or camps, I agree that ASI and Heritage may use my likeness in photographs and video to be used for publications and presentations to promote our programs. I understand that there will be no financial remuneration involved and stipulate that the photographic and video reproductions may be used only for ASI & Heritage purposes.

I have read and agree to the terms above.

Coupon Code

Total

$0.00

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