Form Test Participant's Name* First Last Birthday* MM slash DD slash YYYY Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Cell Phone*Email* Age* Sex* Male Female Grade Next Year* Graduation Year*School* School District* Shirt Size*Adult SAdult MAdult LAdult XLAdult XXLSession* Session 1 Session 2 Session 3 Session 4 Session 5 Session 6 Session 7 Session 8 Session 9 Session 10 See image on right for session information. Referred By I hereby acknowledge that participation in this basketball camp involves an inherent risk of physical injury. In consideration of this registration being accepted I hereby for myself, my heirs, executors, administrators and assignees, waive any and all rights and claims for damages and losses I may have against Novi Community School District, All Area 4-Star Basketball Camp and Camp Staff (coaches, trainers, volunteers) for any and all losses or injuries suffered by myself and/or my child during the life of this program. My child is in good health and is covered by my insurance for any injuries that he or she might sustain while participating in the camp. I authorize the camp staff to act for me in their best judgment in the event of any emergency requiring immediate attention. All refunds requested prior to the start of camp will be granted $100. All refunds requested the first day of camp or later will not be refunded. I approve for pictures of my son and/or daughter to be posted on the All Area website.Parent/Guardian Name* First Last Subtotal $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Discount (Save $48 by signing your son or daughter up for both a Camp AND a High Level Training) $0.00 Total $0.00 CampPayment MethodPayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged.