Register

Registration for the week of June 26 is SOLD OUT.
We still have some spaces left for the week of July 17.

We will hold two sessions of camp in the summer of 2023. The dates are June 26-30 and July 17-21. Please follow the directions to register and pay for your child(ren).

The cost of 1 week of camp is $345. A discount of 10% can be applied for each sibling. A discount of 5% can also be applied if you sign up for both weeks of camp (see pricing schedule at the bottom of the page).

Payment can be made electronically via Venmo or by check made out to:
Pioneers Basketball Camp, LLC. 682 Pugh Road Wayne, PA 19087

Please fill out the form below and click submit. Then pay via Venmo or send a check in the mail.

Which week(s) of camp are you registering for?(required)

June 26-30 July 17-21

Camper's First Name(required)

Camper's Last Name(required)

Gender(required)

Male Female

School Name(required)

Camper #2 First Name

Camper #2 Last Name

Camper #2 Gender

Male Female

Camper #2 School Name

Camper #3 First Name

Camper #3 Last Name

Camper #3 Gender

Male Female

Camper #3 School Name

Parent/Guardian First and Last Name(required)

Full address (City, State, Zip)(required)

Phone Number(required)

Email(required)

Emergency Contact Name & Relation to Child(required)

Emergency Contact Phone(required)

Insurance Policy #(required)

Provider Name(required)

Please list any medical problems or required treatment for all campers registered above(required)

Check here if you agree to the terms and conditions stated below. I accept and assume any and all risks associated with my child(ren)'s attendance and participation in the camp and its activities, including the risk that my child(ren) may be exposed to or infected by the novel coronavirus by attending and/or participating in camp, and that such exposure or infection may result in personal injury, illness, permanent disability, or death. I understand that my child(ren) should not attend the camp if he/she/they are not healthy. I knowingly and voluntarily agree to comply with all COVID-19-related safety and risk mitigation practices required by applicable law and Camp Organizers, whether communicated verbally or in writing. I understand that my child(ren) must abide by camp policies and the instructions of the camp staff. I agree that should my child be dismissed from camp no part of my tuition will be refunded. I understand that no reduction in the tuition will be made for late arrival, early departure, vacations, illness, or injury. In the event that I cannot be contacted in an emergency, I hereby grant Pioneers Basketball Camp permission to give immediate treatment and/or take my child to a hospital emergency room. Permission is hereby granted for photographs and/or videos to be taken of my child at camp and Pioneers Basketball Camp has the right to utilize these in our brochures, videos, slide shows, website, and other camp materials. Knowing these facts and in consideration for your accepting my child(ren)’s application, I am responsible for accidents, injuries, and/or medical or dental expenses arising from my child(ren)’s participation in the camp and, accordingly, I covenant not to sue, and waive, release, and discharge, Pioneers Basketball Camp and Facilities Named, Valley Forge Middle School and TE Middle School, and anyone working on their behalf from any and all claims of liability or expenses of any kind or nature whatsoever arising out of or relating to my child(ren)’s participation in the camp. If I cancel my registration for any reason before the start of the camp I will receive a refund of my registration fee less a cancellation / service fee of $100. No refunds will be given for any cancellations on or after the first day of camp. All cancellation requests must be in writing with no exceptions. I have carefully read all of the information in this application form and agree to all conditions.(required)

To complete registration:

1. Click the “Submit” button above

2. Pay via Venmo or check.

Venmo: @PioneersBasketballCamp

1 Week of Camp

1 Camper = $345.00

2 Campers = $655.50

3 Campers = $966.00

2 Weeks of Camp

1 Camper = $655.50

2 Campers = $1,245.45

3 Campers = $1,868.18

You will receive an email within approximately 24-48 hours confirming your registration and payment.

Register

Registration for the week of June 26 is SOLD OUT.We still have some spaces left for the week of July 17.

To complete registration:

1. Click the “Submit” button above

2. Pay via Venmo or check.

Venmo: @PioneersBasketballCamp

Like this:

Like us on Facebook

Registration for the week of June 26 is SOLD OUT.
We still have some spaces left for the week of July 17.