Grades K – 12 | Boys and Girls Basketball Camp Registration July 28-30, 2026 5416 126th St, Lubbock, TX 79424 Grades K-12, Boys & Girls $175 per Camper In Partnership with JWE Questions? Please feel free to reach out to Korisingstarsinc@gmail.com Register Now Please enable JavaScript in your browser to complete this form.Complete the form below to register your camper. Camp runs July 28–30, 2026 at 5614 126th St, Lubbock, TX 79424.Please register one camper per form. If you are signing up siblings, submit a separate registration for each child.Parent / Guardian InformationPlease provide the parent or guardian's contact details.Parent / Guardian Name *FirstLastEmail Address *EmailConfirm EmailPhone Number *Home Address *Address Line 1Address Line 2CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCamper InformationTell us about the child you are registering.Camper's Full Name *FirstLastCamper's Date of Birth *Grade Entering Fall 2026 *-- Select Grade --Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeCamper Gender *BoyGirlCamp T-Shirt Size *-- Select Size --Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-LargeCurrent School (optional)Camp session times are based on grade:Grades K–4: 9:00 AM – 11:00 AMGrades 5–8: 1:00 PM – 3:00 PMGrades 9–12: 4:00 PM – 6:00 PMYour camper's session is determined by the grade selected above.Emergency Contact & Medical InformationUsed only in case we need to reach someone during camp.Emergency Contact Name *FirstLastEmergency Contact Phone *Emergency Contact Relationship to Camper * Release (optional) Coupon Allergies, Medical Conditions, or Medications *Family Physician Name & Phone (optional)Waivers, Consent & SignaturePlease review and acknowledge the items below.Liability Waiver & Release *I have read and agree to the liability waiver and release on behalf of my child.I understand that participation in basketball activities involves inherent risks. On behalf of my child, I release KO Rising Stars Inc, its coaches, volunteers, and partners from liability for injuries or losses arising from participation, except in cases of gross negligence. I authorize KO Rising Stars staff to seek emergency medical treatment for my child if needed and I am unreachable.Photo & Media Release (optional)I grant KO Rising Stars permission to use photos or video of my child for promotional purposes.Check the box to grant permission. Leaving it unchecked means you do not consent.Code of Conduct Acknowledgment *I acknowledge and agree to the camp's code of conduct and faith-centered environment.KO Rising Stars is a faith-centered camp committed to developing athletes on and off the court. I agree that my child will follow the camp's code of conduct and treat coaches, staff, and fellow campers with respect.Parent / Guardian Signature * Clear Signature By signing, I certify that I am the parent or legal guardian of the camper and that all information provided is accurate.Date *PaymentThe camp registration fee is $175 per camper. Please complete one registration and payment per child.Camp Registration Fee *Price: $175.00$175 per camper.Coupon Apply If you have a coupon, please enter it.Total$0.00Payment via Credit/Debit Card *Submit Registration
