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2014 Winter Holdiay Camp
Dec 29th, 30th, 31st & Jan 2 
For Boys & Girls Grades 3-8
8:30 AM - 12:30 PM
Old Greenwich Civic Center[90 Harding Rd. Greenwich, CT]
 
 
Cost
 
All 4 Days = $300 ($75 per day)
 
Per Day Cost = $80 (3 days or less)
 
 
 
 
To ensure that each child receives the individual attention necessary for improvement we often stop accepting applications once we reach our capacity.  Space is reserved on a first come basis.
 
How to Register
 
Please complete the registration form provided below.  Fill in all required fields.
 
Payment Method
 
At the end of the registration process you will be given the option to pay by credit card or by check.  Make all checks payable to High Rise Basketball Academy.
 
Mailing Address
Drew Gladstone
158 Clapboard Ridge Road
Greenwich, CT 06831
 
Additional Information
 
Visit www.HighRiseBasketball.com for camp highlights, video, pictures and more.
 

Old Greenwich Civic Center
90 Harding Road
Greenwich, CT.
Click for a larger map
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Registrant Fee: $0.00


Billing information


Billing and Payment
Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. Please note, you may see all or any portion of the following on your bank or credit card statement: "MSI*HIGHRISEBASKETBALL 8882448044 ONLINE REG FEE". Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
Please enter your full name in the space below.
 


Please click the button below to finalize your registration.



Registration inquiries:
Bobby Spezzano:
203-496-0462 / Bobby@HighRiseBasketball.com
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Dec. 29th
Dec. 30th
Dec. 31st
Jan. 2nd
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Emergency Contact Information
 
 
Release of Liability & Authorization for Medical Treatment

I herby request that you accept this application for High Rise Basketball Academy, LLC (“the Academy”) at 45 Harding Rd., Greenwich, Connecticut (“the premises”) and allow my Child to participate in the camp during the dates set forth in this application and for which I have applied. I recognize that there are dangers, risks, and possible injuries to Child which are inherent in and may result from participation in camp activities, including without limitation, injuries due to Child’s actions or inaction, the actions or inaction of others, the condition of the premises and/or any equipment used, and I assume all such risks. In consideration of the Academy’s acceptance of this application and allowing Child to participate in the camp, I hereby release the Academy, its administrators, members, managers, directors, counselors, other athletes, and participants and the owners/lessees of the premises, from any liability, cost or damages should any injury or illness occur to my Child while participation in the camp, including serious injury or even death. I have instructed Child to obey all rules, regulations and instructions of the Academy, including all authorized camp personnel, in an effort to minimize such risk. Child is in good physical health and there are no medical or health related reasons that would preclude Child from participating in the camp.

Photo/Video Release Form

I hereby give permission for images of my child, captured during High Rise Basketball Academy, LLC (“the Academy”) 2014 Winter hoiday camp to be used solely for the purposes of the Academy’s promotional material and publications, including the Academy’s website, and waive any rights of compensation or ownership thereto.

Cancellation Policy

No Refunds
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