EMERALD GEMS

2022 7th Annual FREE U.S.V.I. Youth Basketball Camps

REGISTRATION FORM

Ages 8-13: Tuesday, July 26 & Wednesday, July 27 from 9-3pm

Ages 14-17: Thursday, July 28 & Friday, July 29 from 9-3pm: FULL

Please see the Camp Schedule for Arrival/Check-in Times

Ivanna Eudora Kean High School

Age Group 14-17 Camp is FULL: If you register after 6/27, you will be placed on Wait List

IMPORTANT: COVID-19 Liability Waiver and Terms & Conditions Forms must be completed and received before your child(ren) participates in the Camp.

Registration is incomplete until all of your forms have been received.

To access the required forms, COVID-19 Safety Protocols and Camp Schedule, please see below or visit emeraldgemsfoundation.com

Apparel and basketball shoes are not guaranteed.

If your child secures a camp spot, you will receive a confirmation email by June 30th.

For Ages 8-13: First come, first served for up to 40 camp spots.

For Ages 14-17: Up to 40 campers will be selected.

Local coaches may assist with the selection process. Must complete a Registration Form to be considered.

Child's Information

First Name: *

Last Name: *

Gender *

Birthdate (xx/xx/xxxx): *

Height: *

Address: *

U.S.V.I *

Zip Code: *

Jersey Size: *

Shorts Size: *

Basketball Shoes (Indicate Youth or Adult): *

Shoe Size: *

Parent/Legal Guardian Information

First & Last Name: *

Email Address: *

Cell Number: *

Address (if different than above):

Home Number:

Work Number:

Emergency Contact Information

Emergency Contact Name: *

Phone Number: *

Relationship to Camper: *

Medical & Dental Information

If a field is not applicable, please enter N/A.

Health Care Company: *

Group Number: *

ID/Policy Number: *

Primary Care Physician: *

Phone Number: *

Health concerns, including allergies: *

Emerald Gems COVID-19 Liability Waiver and Terms & Conditions Form *

By checking this box, I'm acknowledging that my registration is incomplete until Emerald Gems has received my completed COVID-19 Liability Waiver and Terms & Conditions Forms.

View and print Emerald Gems COVID-19 Liability Waiver

View and print Emerald Gems Terms & Conditions

Emerald Gems Camp Schedule and COVID-19 Safety Protocols *

By checking this box, I'm acknowledging that I've viewed the Camp Schedule and COVID-19 Protocols/Safety Measurements.

View and print Camp Schedule and COVID-19 Safety Protocols