"*" indicates required fields Basketball Camp Price: How many children are you registering?*1234Child #1 InformationChild's Name First Last Gender*Please SelectFemaleMaleSchool Grade (2022-2023)*Please Select:123456Child Jersey Size:* Youth S Youth M Youth L Youth XL/Adult S Adult M Adult L Adult XL Adult XXL How long has child played basketball?*Please SelectNever1 year2 year3 year4 year5 yearAllergies / Other information we need to be aware of:Child #2 InformationChild's Name First Last Gender*Please SelectFemaleMaleSchool Grade (2021-2022)*Please Select:123456Child Jersey Size:* Youth S Youth M Youth L Youth XL/Adult S Adult M Adult L Adult XL Adult XXL How long has child played basketball?*Please SelectNever1 year2 year3 year4 year5 yearAllergies / Other information we need to be aware of:Child #3 InformationChild's Name First Last Gender*Please SelectFemaleMaleSchool Grade (2021-2022)*Please Select:123456Child Jersey Size:* Youth S Youth M Youth L Youth XL/Adult S Adult M Adult L Adult XL Adult XXL How long has child played basketball?*Please SelectNever1 year2 year3 year4 year5 yearAllergies / Other information we need to be aware of:Child #4 InformationChild's Name First Last Gender*Please SelectFemaleMaleSchool Grade (2021-2022)*Please Select:123456Child Jersey Size:* Youth S Youth M Youth L Youth XL/Adult S Adult M Adult L Adult XL Adult XXL How long has child played basketball?*Please SelectNever1 year2 year3 year4 year5 yearAllergies / Other information we need to be aware of:Parent InformationParent/Guardian Name* First Last Email* Best Contact Number*Add another Parent/Guardian?*Please SelectYesNoParent/Guardian Name* First Last Email* Phone*How did you hear about this program? School Banner on road Social Media Church Website Family/friend who participated in program Other If you regularly attend church, which one?*I give my permission for the child registered above to participate in South Cape Basketball at First Baptist Church of Cape Coral. I understand that FBC Cape Coral and those adults who represent FBC Cape Coral and South Cape Basketball are not liable for any injury my child may have during participation in South Cape Basketball. I release any person who represents FBC Cape Coral and South Cape Basketball to seek any medical attention for my child as deemed necessary in the event of injury and/or emergency, and I agree that I will be financially responsible for any medical attention if needed. I also agree to support FBC Cape Coral’s policy and give my consent for video and photo of my child for ministry promotion.* Yes, I give my permission. I would like to pay via: Cash or Check in person Pay Online Instructions For Paying Online After clicking SUMBIT you will be redirected to our online payment website. Type in the amount in “Other Designated” section Type in “SCB-(Your child’s name) For example: “SCB-Jonathan Phillips” Save copy of your receipt Total Due:
