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IMPACT Back to School Basketball Camp Registration Form
Pre-season Basketball Skill Development & Conditioning Camp 2018 at HKIS

Please complete this online registration form and forward a completed cheque 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   
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Introducing our latest addition of the IMPACT Family  -- FIBA Certified Coach Aleksandar Stefanovski
Get in your best basketball shape and prepare for the new season!
Aug 17  FRI  4pm to 6pm                                                                                               Aug 18  SAT 11am to 1pm                                                                                               *
Required
Student's First Name *
Student's Last Name *
Date of Birth *
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DD
/
YYYY
Age *
Gender *
Parent #1 Name *
Parent #1 Mobile Number *
Parent #1 Email Address *
Parent #2 Name
Parent #2 Mobile Number
Helper Mobile Number
Payment Method *
Does your child suffer from any allergies? If yes please specify and give medication details *
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 camp. *
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