Basketball Camp Registration Form

This form must be completed by a parent or guardian. Please submit one registration form per student. Students entering 4th-6th grade are eligible to participate.
You will receive a confirmation email when you successfully submit your registration. If you do not receive an email please contact events@flbc.edu.

Student Information

Name(Required)

First Last

Biological Sex(Required)

Male

Female

Grade (2025-26 School Year)(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Parent/Guardian Information

Phone(Required)

Email(Required)

Media Release

I consent for my child to appear in photos or video footage of this event that may be used in FLBC promotional materials.

Communication Preferences

I would like to receive updates about future events and additional resources from Free Lutheran Bible College.

Medical Information

Emergency Contact - Name(Required)

Emergency Contact - Cell Phone(Required)

Below are allergies or medical conditions that may be relevant to the FLBC staff in food prep or a physician in the event of an emergency:

Liability Waiver & Medical Release(Required)

I agree to the terms and conditions of the FLBCS Liability Waiver and Medical Release

Free Lutheran Theological Seminary Corporation d/b/a Free Lutheran Bible College & Seminary (FLBCS) Facilities Use Liability Waiver and Medical Release

1. Free Lutheran Bible College & Seminary assumes no liability for any damages or losses to persons or property arising out of the use of the facilities or the event described in this Agreement. User agrees that neither FLBCS, nor its trustees, agents, employees, representatives, successors or assigns, may be held liable in any way for any claims, damages or losses arising in any way out of the use of the facilities of FLBCS, including, but not limited to any claims by User. User agrees to indemnify and hold harmless FLBCS, its trustees, agents, employees, representatives, successors and assigns against any and all claims, losses, injury or damage arising in any way out of the event or use of the facilities, including but not limited to, all court costs and attorney’s fees incurred by any indemnified party.

2. User agrees to honor all rules and regulations imposed by FLBCS for the facilities.

3. If any of the above terms and conditions of this Agreement are breached by the User, FLBCS, its Director of Sports Ministry or any other person designated by FLBCS may, in its sole discretion, have the absolute right to cancel this Agreement.

4. This Agreement shall be governed and construed by the laws of the State of Minnesota.

5. This Agreement is intended by the parties as the final and binding expression of their agreement and is the complete and exclusive statement of its terms. This Agreement supersedes all prior negotiations, representations and agreements between the parties, whether oral or written, relating to the subject matter of this Agreement.

6. I authorize FLBCS staff who are in charge of any specific activity to make emergency medical decisions for my child in the event I cannot be reached. I will immediately notify the event coordinator of any change in the information presented here. I agree that this Assumption of Risk shall be valid until I revoke it. I sign this Assumption of Risk both in my own capacity as a parent/guardian of my child and in a representative capacity on behalf of my minor child. I represent and warrant to FLBC that I have completed this Assumption of risk form for my child to participate in this activity and that it is complete and correct in all its information.