Hoop.Camp and the Lady Cougars Basketball Camp at BYU 2024 Hoop.Camp and the Lady Cougars Basketball Camp Participant Registration - September 2024 "*" indicates required fields Participant InformationName* First Last Gender* Male Female Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Shirt SizeYouth SYouth MYouth LAdult SAdult MAdult LAdult XLAdult XXLParent/Guardian InformationPlease provide your information should we need to contact you about this registration. This will also be the emergency contact for the participant.Name First Last Email PhoneWaiver and Release of Liability*I represent and warrant that to the best of my knowledge and belief I am/my child is physically and mentally able to participate in Special Hoop Camp. I also represent that a licensed examiner has reviewed the health information set forth in my/the participant’s application and has certified, based on an independent medical examination, that there is no medical evidence which would preclude my/the participant’s participation. Special Hoop Camp has my permission (both during and any time after) to use my/the participant’s likeness, name, voice, or words in either television, radio, film, newspapers, magazines and other media in any form for the purpose of advertising or communicating the purposes and activities of Special Hoop Camp and/or applying for funds to support these purposes and activities. If a medical emergency should arise during my/participant’s participation in Special Hoop Camp activities at a time when I am not personally able/present to be consulted regarding my/participant’s care, I authorize Special Hoop Camp to take whatever measures are necessary to protect my/participant’s health and wellbeing, including, if necessary, hospitalization. I, the undersigned, have read and fully understand the provisions of the above release, and if I am an adult athlete someone has explained these provisions to me. By signing this release form I agree to the above provisions. If I am the parent/guardian of the athlete named on this form I am agreeing to the above provisions on my own behalf and on behalf of the athlete named on this application. If I am a witness for an adult athlete I certify that I have reviewed this release with the athlete and am satisfied that the athlete understands this release and has agreed to its terms. I have read and agree to these terms. Payment InformationPayment may be made by debit/credit card through our PayPal system. This can be done with or without a PayPal account. Financial assistance is available; contact Steve Garrity (steve@hoop.camp) for information. Registration Fee* Price: Support other CampersWould you like to help support other campers? Every $ of your donation goes directly to special needs athletes. Total Payment Method*PayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name + Add to Google Calendar + iCal / Outlook export Date Sep 07 2024 Expired! Time 10:00 am - 1:00 pm Location Stephen L. Richards Building 15 Field House Dr, Provo, UT 84604 Share this event