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Neftaly Sports and Recreation

Neftaly Email: sayprobiz@gmail.com Call/WhatsApp: + 27 84 313 7407

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Neftaly is a Global Solutions Provider working with Individuals, Governments, Corporate Businesses, Municipalities, International Institutions. Neftaly works across various Industries, Sectors providing wide range of solutions.

Neftaly Email: sayprobiz@gmail.com Call/WhatsApp: + 27 84 313 7407

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  • Neftaly Registration Form Template: A simple form for gathering participant information.

    Neftaly Registration Form Template: A simple form for gathering participant information.

    Here’s a Neftaly Registration Form Template for gathering participant information:

    Neftaly Registration Form

    Participant Information:

    1. Full Name:
      • (First Name, Last Name)
    2. Date of Birth:
      • (MM/DD/YYYY)
    3. Gender:
      • (Male / Female / Non-binary / Prefer not to say)
    4. Email Address:
      • (Primary Email)
    5. Phone Number:
      • (Mobile Number)
    6. Address:
      • (Street Address)
      • (City, State, ZIP Code)

    Emergency Contact Information:

    1. Emergency Contact Name:
      • (Full Name)
    2. Emergency Contact Relationship:
      • (e.g., Parent, Spouse, Friend)
    3. Emergency Contact Phone Number:
      • (Mobile Number)

    Health Information:

    1. Do you have any pre-existing medical conditions or allergies?
      • (Yes / No)
        If yes, please provide details:
      • (Text Box)
    2. Are you currently taking any medication?
      • (Yes / No)
        If yes, please provide details:
      • (Text Box)
    3. Fitness Level:
      • (Beginner / Intermediate / Advanced)

    Activity Consent:

    1. Please indicate your interest in participating in the following activities:
      • Bungee Jumping: (Yes / No)
      • Zip-Lining: (Yes / No)
      • Skydiving: (Yes / No)
      • Other Activities (Specify): (Text Box)

    T-Shirt Size (Optional):

    • (Small / Medium / Large / X-Large / XX-Large)

    Liability and Safety Acknowledgment:

    1. Do you agree to the terms and conditions, including the waiver of liability, for participating in extreme sports activities at the Neftaly camp?
      • (Yes / No)

    How did you hear about Neftaly?

    • (Referral / Social Media / Website / Other)

    Additional Comments or Questions:

    • (Text Box)

    Submit Registration:

    • (Button)

    This simple form captures essential participant information, emergency contact details, health information, activity preferences, and consent for participation. You can modify or expand this form as needed to align with your specific requirements.

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

    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.

    Neftaly Basketball Camp Registration Form

    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: ________________

    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): _____________________________

    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.):

    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

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

    Payment Information

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

    Signature

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

    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.