ALL GIRLS CAMP

Athlete Details

Given Names *

Family Name *

Preferred Name

Date of Birth *

Gender *

FemaleOther

Contact Information

Email Address *

Contact Number *

Preferred Method of Contact: *

Contact NumberEmail

Emergency Contact

Name *

Relationship

Home Address

Mobile (if different from above)

If the emergency contact cannot be reached, do you consent Limitless Coaching AU to contact emergency services in the event of an accident, injury or trauma on behalf of the athlete? *

YesNo

Is the athlete permitted to be transported by an ambulance service? *

YesNo

Payment

The cost of this camp is $50

Payment is to be made in full via bank transfer to the following bank details:

Account Name: Limitless Coaching AU

BSB: 032-639

Account Number: 391029

Payment Description: Please provide the Athlete's name(s) and age group.

The Athlete's position is not secured until payment has been received

Athlete Declaration and Consent

Terms & Conditions

What to bring: Bring your own basketball with your name on it. Wear suitble clothing for a full day of basketball. Pack a water bottle, lunch and some snacks for breaks. Any medications as required.

Refunds: No refunds will be provided for withdrawal under any circumstances. If we cancel a clinic for any reason, a full refund will be processed.

Changes: Any changes to the camp will be communicated via the email provided in this form.

Liability: By participating in this camp the athlete is aware of risks associated with physical activity while playing basketball. While all efforts are taken for athlete safety, Limitless Coaching AU will not be held liable for any injury, loss, damage or death caused under any circumstances.

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