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Camp Registration
The Pit 2026
1
Athlete Information
2
Parent/Guardian Information
3
Acknowledgement & Payment
Athlete Name
(Required)
First
Last
Birthday
(Required)
MM slash DD slash YYYY
Grade
(Required)
Please enter a number from
3
to
12
.
School Name
(Required)
Gender
Male
Female
T-shirt Size
(Required)
Please select…
Youth Small (YS)
Youth Medium (YM)
Youth Large (YL)
Youth XL (YXL)
Adult Small (AS)
Adult Medium (AM)
Adult Large (AL)
Adult XL (AXL)
Position
Point Guard (PG)
Shooting Guard (SG)
Small Forward (SF)
Power Forward (PF)
Center (C)
Combo Guard (PG/SG)
Forward-Center (PF/C)
Years Playing
Please list any allergies or medical conditions. If none, write NA.
(Required)
Please list any medications or special accommodations. If none, write NA.
(Required)
Parent/Guardian Name
(Required)
First
Last
Relationship to Athlete
(Required)
Phone
(Required)
Secondary Phone
Email
(Required)
Emergency Contact Name
(Required)
First
Last
Emergency Contact Phone
(Required)
Camp Cost
(Required)
Medical Treatment Authorization & Participation Agreement
I agree
By registering my child for participation in this Payton Pritchard Family Foundation Basketball Camp, I acknowledge and agree to the following: I authorize staff and medical personnel to provide or seek necessary medical treatment in the event of illness or injury (Medical Release). I understand that participation in basketball and related physical activities carries inherent risks, including concussions or other injuries, and I voluntarily assume all such risks (Assumption of Risk). I release the Payton Pritchard Family Foundation and its staff from liability for injuries, accidents, or medical incidents, except in cases of gross negligence or willful misconduct (Liability Waiver). I consent to the use of photographs or videos of my child for promotional or media purposes (Media/Photo Release). I agree to follow all rules and expectations outlined in the camp’s code of conduct (Code of Conduct Agreement). I have read and acknowledge the camp’s policies regarding refunds and cancellations (Refund & Cancellation Policy Acknowledgment). By electronically signing below, I confirm that I have read, understand, and agree to all terms outlined in this agreement (Electronic Signature).
Extra T-shirts
Quantity
Price:
$20.00
Quantity
Optional
Total
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Security Code
Cardholder Name