Jasper Camp 2019
July 28-August 2, 2019

Jasper Day Camper 2019 Price: $350.00 CDN
(cheque and E Transfer is $340)
Jasper Live in Camper 2019 Price: $585.00 CDN
(cheque and E Transfer is $575)

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Jasper Camp 2019

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First Name *

Last Name *

Gender *

Male

Female

Age (at the time of camp, eligible between ages of 8 to 17) *

Birthdate (Please specify in format: Month/Day/Year) For example, August 5, 2001, would be: 08/05/2001 *Single Digits must have a '0' in front of them *

Alberta Health Care Number (must be 9 digits, no spaces or hyphens) *

Allergies or Medical Concerns (Place 'NIL' if none) *

Email Address 1 (for registration confirmation) *

Email Address 2 *

Mailing Information

Address *

City *

Province *

Postal Code *

Phone Number - Must Use a 10 Digit Number (area code + number) - No Spaces - Numbers Only *

School of Registrant *

Shirt Size (adult unisex sizing only): *

Small

Medium

Large

Extra Large

2 XL

Emergency Contact #1 (in case of an emergency this will be the first person contacted)

Emergency Contact #1 Name *

Emergency Contact #1 Phone Number - Must Use a 10 Digit Number (area code + number) - No Spaces - Numbers Only *

Emergency Contact #1 Relationship *

Emergency Contact #2 (in case of an emergency this will be the second person contacted)

Emergency Contact #2 Name *

Emergency Contact #2 Phone Number - Must Use a 10 Digit Number (area code + number) - No Spaces - Numbers Only *

Emergency Contact #2 Relationship *

Jasper July 28 – August 2, 2019

Type of Jasper Camper: *

Overnight Camper

Day Camper

Jasper Camp Payment Method *

Credit Card

PayPal

Cheque

Cash

Parent(s) Names

Parent Name 1 (First and Last) *

Parent Name 2 (First and Last)

Parent Name 3 (First and Last)

Parent Name 4 (First and Last)

Parent/Guardian Authorization

(By checking the box below, you are providing your parental approval for the registrant and you are agreeing to the terms and conditions as such: The applicant and registrant agrees that the Rocky Mountain Basketball Camp and /or any other organization and individual connected with it, will not be held responsible for any accidents or loss however caused and agrees to release the above mentioned organizations or individuals from all claims or damages which may arise as a result or by means of such an accident or loss. The Camp Directors reserve the right to assign registrants to the group that they (Camp Directors) deem most fit. The Camp Directors reserve the right to request any applicant to withdraw from the Camp prior to its conclusion, if in their opinion the applicant is not conducting themselves in a reasonable manner. The Camp Directors also reserve the right to cancel ay session due to any circumstances that are not to the benefit of the applicant). *

Click here for Parent/Guardian Consent

Refund Terms

A full refund, less a $50 administrative fee, will be granted for cancellation notification prior to June 1, 2019. On or after June 1, 2019, a refund of half your tuition cost will be granted. The full registration fee is forfeited for cancellation less than one week prior to the start of the chosen camp. Those requiring a refund who paid by credit card, will be subject to a $22 service fee, in addition to the refund schedule mentioned above.

Cheques/Money Orders can be mailed to:

Rocky Mountain Hoops
Attention: Registrations
79 Erin Ridge Drive
St. Albert AB T8N 2B8

Registrar Notes (Please Leave Blank)

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