Registration Forms Step 1 of 3 33% Registration*House LeagueSummer CampMailing ListNumber of Camp Weeks*1 Week2 Weeks3 Weeks$125/wkChoose Your WeekJuly 8 - 12July 15 - 19July 22 - 26Choose Your Weeks July 8 - 12 July 15 - 19 July 22 - 26 Choose Your Weeks July 8 - 12 July 15 - 19 July 22 - 26 Player's Name* First Last Gender*MaleFemaleTotal $ 0.00 CAD Guardian's Name* First Last Address* Street Address Address Line 2 Postal Code Phone Number*E-Mail* School*Grade (Most recently attended)*Emergency Contact & Phone #*Emergency Contact & Phone # 2T-Shirt Size*Youth SmallYouth MediumYouth LargeYouth Extra LargeAdult SmallAdult MediumAdult LargeAdult Extra LargeSpecial Requests I hearby declare that I am willing to allow my child:*to participate and that I will not hold Hoops All-Star Basketball, its agents, executive, volunteers, employees or sponsors responsible for injuries incurred by my child as a result of being a participant in this event. I further understand that my child, upon registration, will be covered by a sports accident insurance policy which shall be in effect while a participant in this event.Terms & Conditions* I understand and agree with terms and conditions stated above. I give permission for my child's photo to be displayed. I would like to sponsor a child to play. Terms & Conditions* I consent to recieve future communications from Hoops AllStar Basketball Inc. Payment Method*Pay Online with Credit CardPay Later by ChequeHouseleague Fee Price: $ 55.00 CAD Total $ 0.00 CAD Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.