Crossover Basketball Winter Skills Camp 2025 Thank you for your interest in attending Crossover Basketball's Winter Skills Camp. Please fill out this survey to get registered. Question Title * 1. Athlete contact info: First Name Last Name Address Gender / Pronouns City / Town Province Postal Code Email Address Phone Number Question Title * 2. Do you identify as Indigenous? n/a Metis Inuit First Nations Question Title * 3. How old is your athlete? Birthdate Date Question Title * 4. Basketball Experience Beginner WMBA / Community Club Peg-City / PBA / Club Basketball School Basketball Question Title * 5. If you played Club Basketball, what Club did you play for? 204 Elite Ambush Attack Alliance Bisons Blacktop Blizzards Central Plains Chaos Chiefs Crossover D-Elite Downtown Dawgs Empire Evolve Gladiators Grizzlies Ignite Legacy Mayhem Magic Northstar PBL Relentless Refresh Rising Star Summit Selkirk Royals Spirit Storm TAP Triumph Unite Up Next Wildcats Wolves World Class Hoopers WYBA n/a Question Title * 6. Parent/Guardian 1 Name Relationship to Athlete Email Address Phone Number Question Title * 7. Parent/Guardian 2 Name Relationship to Athlete Email Address Phone Number Question Title * 8. MEDICAL WAIVER AND RELEASECrossover Basketball Club and its coaches, organizers, facilities or school divisions where camps will be held will assume no liability for injury or damages arising from the results of the above named Athlete’s participation unless due to the willful misconduct or gross negligence on the part of Crossover Basketball Club, its affiliates, or agents. Due to the strenuous nature of basketball, the Athlete participating and their parents are urged to consult their physician concerning the Athlete’s fitness and ability to participate. Basketball presents certain inherent risks and hazards, which the participating Athlete is urged to consider and which the Athlete assumes the outcomes of such risks and hazards.I hereby approve of the participation of my child, the above-named Athlete in the Crossover Basketball Club Winter Skills Camp and consent to emergency medical treatment for my child on my behalf, should it be needed. To the best of my knowledge, there are no physical or other conditions which will interfere with my child’s participation. I have read the medical waiver and release Question Title * 9. MEDIA RELEASE I hereby give Crossover Basketball Club permission to take pictures and video of my child and share them in whatever format they decide and on whatever social media platform they choose with no limitations, or expectation of credit or compensation of any form, in perpetuity. I understand that these pictures and videos become the property of Crossover Basketball Club and can be used for whatever purposes they deem necessary, including marketing and promotion of future Crossover Basketball Club events. I have read and consent to the media release Our Camp will run Thursday, December 29th (8-10pm) and Saturday, December 30th (8-10pm), 2025All Sessions will take place at Sturgeon Heights Community Club (210 Rita Street)Each Camp week will consist of 2 hour sessions.Each session will be contain a combination of Cardio / Plyometrics, Fundamental Skills / Footwork, Game Theory / Side games and more. Question Title * 10. Please choose the sessions your athlete will attend below. Full Camp, December 29 and December 30, 2025 - Cost $80 ($50 for Club Members) Once we receive your registration form you will receive an email with camp details and payment instructions. Our preferred method of payment is Interac e-transfer (send to: crossoverwinnipeg@gmail.com). Registration into our camp will be incomplete, and entry into our camp will be restricted until payment has been received. Done