Neftaly Registration Form Template: A simple template for capturing participant details

Here’s a simple Neftaly Registration Form Template that captures participant details, including personal information, emergency contacts, and skill level.

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Neftaly Basketball Camp Registration Form

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Participant Information

• Full Name: _________________________________
• Gender:
  • ☐ Male
  • ☐ Female
  • ☐ Other: _______________
• Date of Birth: ___________________________
• Age: ______________________
• Address:
  Street: ____________________________
  City: _____________________________
  State: ____________________________
  Zip Code: _________________________
• Email Address: _________________________________
• Phone Number: _________________________________
• Parent/Guardian Name: _________________________
• Parent/Guardian Phone Number: __________________
• Emergency Contact Name: ______________________
• Emergency Contact Relationship: __________________
• Emergency Contact Phone Number: ________________

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Health Information

• Does the participant have any allergies or medical conditions?
  ☐ Yes ☐ No
  If yes, please specify: ___________________________________________
• Medications currently being taken (if any): ________________________
• Special Dietary Restrictions (if any): _____________________________

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Basketball Experience

• How long has the participant been playing basketball?
  ☐ Less than 1 year ☐ 1-2 years ☐ 3-5 years ☐ More than 5 years
• What position(s) does the participant prefer to play?
  ☐ Point Guard ☐ Shooting Guard ☐ Small Forward ☐ Power Forward ☐ Center ☐ Other: _______________
• Skill Level:
  ☐ Beginner
  ☐ Intermediate
  ☐ Advanced
• Previous Experience (e.g., school teams, local leagues, camps, etc.):

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Parental Consent

• I give permission for my child to participate in the Neftaly Basketball Camp.
  ☐ Yes ☐ No
• I understand that photographs or videos may be taken during the camp for promotional purposes.
  ☐ Yes ☐ No
• Medical Consent:
  In case of an emergency, I authorize the Neftaly staff to seek medical treatment for my child.
  ☐ Yes ☐ No

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T-shirt Size (if applicable):
☐ XS ☐ S ☐ M ☐ L ☐ XL ☐ XXL

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Payment Information

• Total Camp Fee: $______________
• Payment Method:
  ☐ Credit Card ☐ Cash ☐ Check
  ☐ Online Payment (PayPal, etc.) – Link: ___________________________

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Signature

• Parent/Guardian Name: _________________________________
• Signature: ___________________________________________
• Date: _______________________

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This registration form can be customized to fit your needs. Ensure the camp collects relevant medical, emergency, and parental consent information to ensure safety and clear communication.