2026 CAMPER FORM

Please complete all fields listed below to ensure that we have accurate data for all participating players in our Rossetti Basketball Summer Camp 2026. All fields are required in order to complete the form to submit. Thank you in advance for your cooperation in completing this form so that Rossetti Basketball can be fully equipped to safely provide each and every camper the most exceptional experience this coming Summer!

Camper First Name *

Camper Last Name *

Date of Birth *

Age *

6
7
8
9
10
11
12
13
14
15
16
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Grade Entering Fall 2026 *

1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
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T-Shirt Size *

Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
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Phone *

E-mail *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from Rossetti Basketball. Message frequency varies. Message & data rates may apply.You can reply STOP to unsubscribe at any time.

Select Camp Sessions *

Session 1 (BOYS & GIRLS Grades 3-5)

Session 2 (BOYS & GIRLS Grades 3-5)

Session 3 (BOYS & GIRLS Grades 3-5)

Session 4 (BOYS & GIRLS Grades 6-8)

Session 5 (BOYS & GIRLS Grades 6-8)

Session 6 (BOYS & GIRLS Grades 6-8)

Health Conditions & Allergies *

Does your child have any allergies (food, insect, medication, etc...)?

Does your child have asthma or use an inhaler?

Does your child have any other medical conditions or take daily medication?

I hereby authorize Rossetti Basketball to arrange for emergency medical treatment for my child if I cannot be reached. I understand every effort will be made to contact me prior to treatment. *

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Parent/Guardian Name *

Relationship to Camper *

Mother
Father
Other
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Transportation & Pickup Authorization: (All Adults authorized to pick up your child from camp) *

1
2

Photo & Video Consent: *

I grant permission for photos/videos of my child to be used for promotional purposes (social media, website, flyers, etc...)

I do NOT grant permisson

Parent/Guardian Signature *

Clear