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IMPACT Christmas Basketball Camps 2022-23
IMPACT Basketball Program at Hong Kong International School

Please complete this online registration form and forward a completed check made payable to "IMPACT Sports Academy Ltd" to

IMPACT Sports Academy Ltd.
4/F, Tung Hip Commercial Building
244-248 Des Voeux Road Central,
Hong Kong
For any enquiries please contact IMPACT Basketball at info@impact-basketball.com   
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Part I: Dec 19-23, 2022       Part II: Jan 2-6, 2023
Middle School Gym, HKIS, 1 Red Hill Road, Tai Tam
Students from all schools are welcome to join!
Age Groups: Grade 1&2/ Under-10 / Under-12 / Under-14 / High School 
Please select training period(s) *
Required
Please select age group *
Required
Student's First Name *
Student's Last Name *
Date of Birth *
Gender *
Parent #1 Name *
Parent #1 Mobile Number *
Parent #1 Email Address *
Parent #2 Name
Parent #2 Mobile Number
Helper Mobile Number
Payment Method *
Bank Transfer information: Shanghai Commercial Bank. A/C no. 328-82-55584-3 (please provide reference number after the payment is made)
Bank code: 025
Branch code: 328
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 program. (we will offer credits or refund if any session or program is cancelled due to COVID-19 related reasons) *
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