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IMPACT Basketball Spring Break Camp 2019
IMPACT Basketball Camps at Hong Kong International School

Please complete this online registration form and forward a completed check made payable to "IMPACT Sports Academy Ltd" to
Unit 3205, 32/F,
W50, 50 Wong Chuk Hang Road,
Hong Kong.
For any enquiries please contact IMPACT Basketball at info@impact-basketball.com

April 2 - 4. Middle School Gym, HKIS, 1 Red Hill Road, Tai Tam
Join to receive intensive training from IMPACT Coaching Team during Spring Break with skill development drills, 1-on-1 competition, shooting competition, and scrimmages.
Age Group
Student's First Name *
Your answer
Student's Last Name *
Your answer
Date of Birth (please do not put "2019") *
MM
/
DD
/
YYYY
Gender *
Parent #1 Name *
Your answer
Parent #1 Mobile Number *
Your answer
Parent #1 Email Address *
Your answer
Parent #2 Name
Your answer
Parent #2 Mobile Number
Your answer
Helper Mobile Number
Your answer
Payment Method *
Does your child suffer from any allergies? If yes please specify and give medication details *
Your answer
By submitting this form I agree that my child will abide by the rules and regulations. I will not hold HKIS and IMPACT Basketball Academy or their employees responsible for any injury to my child, or damages to property as a result of participation in the course. *
By submitting this form I agree that 50% of the payment will be made to IMPACT Sports Academy Ltd if my child is unable to attend in the program. *
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