One Day Camps · Grades K–8

Register for a One Day Camp

9:00 AM – 3:00 PM · Bradley Hills ES, Bethesda, MD

$95 per child, per date

Open to Kindergarten through 8th Grade. Players need to bring a lunch and bottle of water. Register and pay separately for each date.

Step 1

Camp date & player information

Camp date

Player first name

Player last name

Grade

Gender

School

Shirt size

Step 2

Parent / guardian information

Parent first name

Parent last name

Email address

Mobile phone

Step 3

Emergency contact

Emergency contact name

Emergency phone

Relationship to player

Allergies or medical notes (optional)

Step 4

Agreements & waivers

Participation Waiver & Release of Liability *I understand that basketball participation with Coach Poole Basketball Academy involves inherent risks including but not limited to sprains, fractures, concussions and, in rare cases, serious injury. On behalf of myself and my player, I assume those risks and release the Academy, its coaches, staff, volunteers and facility partners from claims arising out of participation, except for gross negligence or willful misconduct.Emergency Medical Treatment Authorization *I certify my player is physically fit to participate. In the event of injury or illness I authorize Academy staff to obtain emergency medical care for my player, and I accept financial responsibility for that care.Academy Policies & Code of Conduct *My player and family agree to treat coaches, teammates, opponents, officials and facilities with respect and to follow all Academy policies, including attendance, uniform and fee policies. The Academy may remove a participant for conduct that endangers or disrupts others, without refund.Photo, Video & Media Consent *I grant the Academy permission to use photographs and video of my player taken during Academy activities for promotional purposes, including the website and social media, without compensation.One Day Camp Fee & No-Refund Policy *I understand that the $95 camp fee reserves one place for my player on the selected camp date. The fee is non-refundable once registration is submitted, except if CPBA cancels the camp or as otherwise required by law. A separate registration and $95 payment are required for each camp date.

Your spot is confirmed after this form and the $95 fee are received. A separate registration and payment are required for each date.