Camper Application Form

Application to Attend Naismith Basketball Camp

To attend the Naismith Basketball Camp this year between the days of August 19th - August 24th, 2019, you must fill out this form completely and follow the instructions emailed to you in the confirmation email, where you will receive your options on how to send your payment.

 

The fee to attend the Naismith Basketball camp is $925 (taxes included), if you have not registered by June 1st then the fee is $975. Early Bird discount if full amount is paid by March 1st, 2019 is $50 off!

 

Please note that a $200.00 non-refundable deposit must be sent along with the application form. No refunds after June 1st.

 

Please mail in an application or call 519-591-0863 if you wish to be kept on file in case of any cancellations.


View Our Program Brochure

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

 
Gender
Male
Female
Past Campers Only: Colour Wars   Reset
White
Red

 

 
Please Answer The Questions Below Appropriately
 
YES NO  
Allergies
Asthma
Wears Glasses
Diabetic
Epileptic
Hearing Problem
Bone or joint problem
Heart condition - Medication being taken regularly at home?
Has had an illness lasting more than a week in the past year?
Any health problem that would interfere with him/her participating in a full physical activity program?
Has had any injuries requiring medical attention in past year?
Has been to the hospital in the past year?
Has had a surgical operation in the past year?
Wears a medical alert bracelet or necklace?
 

 

 
I hereby authorize the directors of NAISMITH to act according to their best judgement in any emergency requiring medical attention. I understand that it is my responsibility to keep Naismith Sports Camp advised of any change to the above information as soon as possible, and that in the event that nobody can be contacted, camp personnel will admit the camper to the hospital if deemed necessary.

 

 
Method of Payment
Email Transfer
Early Bird Discount?(Full Payment Before March 1st)
Yes
No
 
 

 

 

* if the name on the e-transfer is different from the camper, please identify who the payment is for on the message line for the e-transfer *

 

 

 

For help with how to send an email e-transfer, please click on one of the links below.

 

 

 
Clothing Orders
 
  Sizes  
Hoodie ($60)

 

 

 
 
 
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