Basketball Camp Registration Form


Please select in-state or out-of-state registration to make your payment online. Once your payment is made, use the following form to complete your registration for the camp providing the confirmation number from the payment page.

If you would like to register immediately, please use one of the following:

In State Number of Weeks

Out Of State Campers


Athlete's Name (required)

Birth Date

 Male Female

Athlete's Age

Shirt Size
 s m l xl 2xl


Name (required)

Phone Number

Your Email (required)

PG County Resident?
 Yes No


Name (required)

Phone Number

Additional Info / Special Accomodations / Allergies, Chronic Illness, or Medical Conditions

Payment Confirmation Number


Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by SAFEO, during this Basketball Camp. In exchange for the acceptance of said child’s candidacy by SAFEO. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless SAFEO. All its respective officers, agents, and representatives from any and all liability for injuries to the said child arising out of traveling to, participating in, or returning from selected basketball camp sessions.

In case of injury to said child, I hereby waive all claims against SAFEO. Including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include but are not limited to, the risk of fractures, paralysis, or death.


By Entering my full name in the field below and checking the consent box, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.

I, , consent to the conditions outlined above.

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