Empower Young Leaders

Programs designed for youth development and community impact.

Our Core Services

Transforming Potential into Action

A range of programs to inspire and empower youth.

AUTUMN BASKETBALL CAMP

Full Name

Please enter the full name of the Participant.

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Date of Birth

(26/01/2013)

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Medical conditions

Please enter any conditions, allergies or relevant injuries.

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Camp Attendance

Choose your days of attendance.

Full Course

Tues 27 Oct

Wed 28 Oct

Thurs 29 Oct

Fri 30 Oct

Payment

£25.00 per day or £90.00 Full Course Young Prospects UK Limited Sort code: 20-12-26 Account Number: 40247944 IBAN: GB83BUKB20122640247944

Pay at registration

Pay via Bank Transfer

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Parents/Carers Email Address

Please provide a valid email address for communication.

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Parents/Carers Phone Number

Enter a contact phone number including area code.

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Emergency Contact Name

Please provide a valid email address for communication.

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Emergency Contact Relationship

Please provide a valid email address for communication.

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Emergency Contact Phone Number #1

Enter a contact phone number including area code.

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Emergency Contact Phone Number #2

Enter a contact phone number including area code.

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Photo/Videos

I do not consent to my child appearing in Young Prospects photos or videos used for promotional purposes

Liability Waiver

I confirm that I am the parent/legal guardian of the child named on this form and give my consent for them to attend and participate in Young Prospects events and activities. I understand that participation may involve inherent risks, including the risk of personal injury or, in exceptional circumstances, loss. <br><br>I acknowledge that Young Prospects will take reasonable steps to promote the safety and wellbeing of all participants. To the extent permitted by law, I understand that Young Prospects accepts no liability for personal injury, loss or death arising from participation in its events, except where such liability cannot legally be excluded or limited. By submitting this form, I confirm that I have read and understood this statement and consent to my child’s participation.

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Parents/Carers Please Sign

Please print your name to sign (e.g JOHN SMITH)

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Join Us Today

Become a part of the Young Prospects community and make a difference.

Reach Out

We’re here to help you get started.

Send us an email and we will get back to you as soon as possible.

admin@young-prospects.co.uk

Phone

Give us a call during business hours to speak with our team.

07535412431

Office

Visit our office for a consultation or to discuss your goals.

2360 Hood Avenue, San Diego, CA, 92123