Next Level Basketball Application For questions contact Louise Foley at (804) 387-2347 or bobfoley411@gmail.com Email * Camper Name * First Name Last Name Camper's Age * Any Camper Allergies? Address Phone * (###) ### #### School 2025 Spring 3 on 3 $140 Mar 16, 23, 30, Apr 6, 13 2025 Summer Camp $265 before April 1 June 16 - 20 July 14 - 18 July 28 - Aug 1 How did you hear about us? Returning Camper Email Social Media post/ad Referral Other What is your payment method Payment information will be linked upon form submission Venmo Zelle Mailed Check LIABILITY WAIVER * I understand that this program carries the possibility of physical injury and may involve physical activity that may be strenuous and that there are risks inherent in this recreational activity. I further understand that Next Level Basketball and its officers and agents are not liable for any injuries that may result from the negligence of persons conducting this program. It is recommended that participants secure adequate medical insurance to cover any injuries that may arise from participation in Next Level Basketball’s programs. I agree Thank you!