LifePointe Alliance Church

Register
 Fees
 Review
 Finish

Welcome to Upward Basketball. Please fill in all the required information below.  Due to space limitations, please note that registration fees must be paid no later than May 24, 2024, in order to keep your camper's registration active.  After this date, registration will be canceled and the next available camper registration will be accepted. Please contact us at upward@lifepointealliance.org with any questions.  Thank you!
* Denotes a required field to fill in
Player Information
Child's First Name *
Child's Last Name *
Gender*
Child's Date of Birth (MM/DD/YYYY format) *  
Child's Grade*
Church (if you regularly attend church, which one?)
Which Upward league are you registering for?*
School District
Did this child play Upward Basketball last year?*
Yes
No
Years experience playing organized basketball?

Email Information

Email for league correspondence *
Please reenter email address *
Alternate Email for League Correspondence (Optional)
T-shirt Sizing 

T-shirts are included in registration fee. Please fill in the t-shirt size below. 

Please estimate your child's T-Shirt size.
(Will be verified on evaluation day)

Coach Request

You may also enter the name of one coach, however, we cannot promise to honor but will do our best.  If you are coaching for the camp and have a camper, please be sure to enter your name as a coach request.

Coach Request FIRSTNAME
Coach Request LASTNAME
Parent/Guardian Information
(Parent/Guardian #1 will also be used as the initial emergency contact)
PARENT/GUARDIAN INFORMATION #1 (Required)
Parent/Guardian First Name *
Parent/Guardian Last Name *
Address
Address Line 1 
Address Line 2 
City     State     Zip 
Email Address *
Relationship to player*
Mobile Phone *
Work Phone
I can support the league as a
Referee (G1)
Coach (G1)
Asst Coach (G1)
Volunteer (G1)
PARENT/GUARDIAN INFORMATION #2 (Optional)
Parent/Guardian First Name
Parent/Guardian Last Name
Address
Address Line 1 
Address Line 2 
City     State     Zip 
Relationship to player
Email Address
Mobile Phone
Work Phone
I can support the league as a
Referee (G2)
Coach (G2)
Asst Coach (G2)
Volunteer (G2)
Liability Waiver Acceptance and Signature

Please read the attached liability waiver and then use your electronic signature for your acceptance of its terms and conditions.

Attached Document: Parent Liability Waiver.pdf
INDICATE AGREEMENT HERE
Liability waiver release statement*
PLEASE ENTER THE FULL NAME OF THE PARENT OR LEGAL GUARDIAN WHO IS ACCEPTING THIS AGREEMENTS *
Attached Document: Covid Liability Waiver.pdf
INDICATE AGREEMENT HERE
Covid liability waiver release statement*
PLEASE ENTER THE FULL NAME OF THE PARENT OR LEGAL GUARDIAN WHO IS ACCEPTING THIS AGREEMENT *
Attached Document: Photo Consent.pdf
PLEASE ENTER THE FULL NAME OF THE PARENT OR LEGAL GUARDIAN WHO IS ACCEPTING THIS AGREEMENT *
INDICATE AGREEMENT HERE
Photo Consent release statement
Choose ONE*
Does this child have any disabilities, handicaps or present injuries or limitations, allergies, hemophilia, heart conditions history of respiratory illness, or any other significant medical condition?*
If above answer is yes, please explain here
Please place here any additional comments that you would like to include as part of this registration.  PLEASE INCLUDE ANY FOOD ALLERGIES.  A snack will be provided each evening of camp.