Basketball Registration

Personal Information

Name, contact details, date of birth and age group

First Name *Please enter first name.

Last Name *Please enter last name.

Email *Please enter a valid email.

Phone *Please enter phone number.

Date of Birth *Please enter date of birth.

Age Group *

Please select age group.

Basketball Profile

Position, level, experience and improvement goals

Primary Position *

Please select position.

Competition Level *

Please select level.

Years Playing Basketball

0–2 Yrs3–5 Yrs6–10 Yrs10+ Yrs

What do you most want to improve?

Emergency Contact

Required contact person and medical notes

Contact Name *Please enter emergency contact name.

Contact Phone *Please enter emergency contact phone.

Medical Notes / Dietary Requirements

Medical Information

Conditions, allergies and current medications

Primary Care Physician

Physician Phone

Medical Conditions (check all that apply)

Asthma Diabetes Heart Condition Epilepsy / Seizures Bone / Joint Injury None of the above

Known Allergies

Current Medications

Physical Activity Waiver & Consent

Required waivers and authorizations

PHYSICAL ACTIVITY WAIVER & RELEASE OF LIABILITY I acknowledge that the AdherenceFit 10-Day Basketball Development Camp involves vigorous physical activity including running, jumping, contact drills, and conditioning exercises. I understand that participation carries inherent risks of physical injury. I voluntarily assume all such risks and agree to release AdherenceFit, Coach K. Gayden, and all associated staff from any liability arising from participation.

I agree to the Physical Activity Waiver & Release of Liability * You must agree to the physical activity waiver. I authorize emergency medical treatment if I cannot be reached and the participant requires immediate care. * You must authorize emergency medical treatment. I confirm the participant is in good physical health or have disclosed all relevant conditions above. * Please confirm the participant's physical health status. I grant permission for AdherenceFit to use photos/video of the participant for promotional purposes. (Optional)

By clicking below you confirm all information is accurate and agree to AdherenceFit camp terms. You will be redirected to complete your payment via Stripe. The 10-day camp is $249.99 — just $24.99 per session, one of the most competitive rates available for elite small-group basketball coaching.

Secure Your Spot

You're In!WELCOME TO CAMP

Quick Links

SIGN UP FOR ACTIVE STRETCHING

Sign up for our Active Stretching

Secure Your Spot

You're In!WELCOME TO CAMP

Quick Links

SIGN UP FOR ACTIVE STRETCHING