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IMPACT Basketball Fall Break Camp 2018
IMPACT Basketball Fall Training Camp 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

October 2 - 5. Middle School Gym, HKIS, 1 Red Hill Road, Tai Tam
Join to receive intensive training from Coach Tyler in this pre-season skill camp includes 1-on-1 competition, free-throw & 3-point contests, and scrimmages.
Please select age group *
Student's First Name *
Your answer
Student's Last Name *
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Date of Birth *
MM
/
DD
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YYYY
Gender *
Parent #1 Name *
Your answer
Parent #1 Mobile Number *
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Parent #1 Email Address *
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Parent #2 Name
Your answer
Parent #2 Mobile Number
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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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