TELEPHONE NUMBER
IN CASE OF EMERGENCY

 *Cell Phone: 
Online Registration
& Payment		 My Account InformationTo register by mail or in person, click here to download
an application form you can print out and fill in.
Player's Information
[Note: You may register more than one child on a single form if they are siblings.]
* Denotes Required Information
  *Player 1
    Last Name:    First Name:    Date of Birth:    Sex: Male
(Enter date as: mm/dd/yyyy) Female
 Player 2
    Last Name:    First Name:    Date of Birth:    Sex: Male
(Enter date as: mm/dd/yyyy) Female
 Player 3
    Last Name:    First Name:    Date of Birth:    Sex: Male
(Enter date as: mm/dd/yyyy) Female
 Player 4
    Last Name:    First Name:    Date of Birth:    Sex: Male
(Enter date as: mm/dd/yyyy) Female
Parent's Name, Address & Contact Information
* Denotes Required Information
 *First Name:      *Last Name:     Mr/Mrs/Ms/Dr:  
 *Street Address:    *City:    *State:     *Zip: 
 [Please enter area code and telephone number in the format: XXX-XXX-XXXX]
 *Day Phone:        *Cell Phone:  
 *E-Mail Address:        *Re-Enter E-Mail Address:  
Camp Session Selection
 
Camp Pricing Plans
ALL CAMPS . . . . $110.00 PER SESSION/WEEK FRIDAY LESSONS ....... $30.00 PER SESSION/WEEK (NOTE: player must be registered for camp that session/week)
FULL SUMMER DISCOUNT - $560.00 (all 8 sessions/weeks - must be paid in full in advance)
2 WEEKS (if paid in advance) $220.00
4 WEEKS (if paid in advance) $340.00
6 WEEKS (if paid in advance) $450.00		 3 WEEKS (if paid in advance) $270.00
5 WEEKS (if paid in advance) $400.00
7 WEEKS (if paid in advance) $490.00
If you are enrolling more than one child (siblings), we deduct $10.00 per session.
(Does not apply to Friday Lessons. You must enroll at least two (2) siblings
on the same form to obtain the additional discount.)
Please Be Sure You
  1. Check the boxes below for each player for the Week(s) and Friday Lesson(s) you would like that player to attend. The pricing and and any discounts will be automatically calculated at the bottom of the form.
  2. After reviewing your registration and submitting online payment, please remember to read the PayPal instructions for completing the transaction carefully. You do NOT have to have or create a PayPal account to use the service.
Choose Sessions For Each Player . . .

Select the
sessions
Player 1
will attend
by
checking
the
boxes.
 Week 1 - July 2-5: Dribble/Ball Handling
Friday Lessons:  9:00 a.m.      
 Week 2 - July 9-12: Reps/Shooting Friday Lessons:  9:00 a.m.      
 Week 3 - July 16-19: Offensive Moves Friday Lessons:  9:00 a.m.      
 Week 4 - July 25-28: Dribble/Ball Handling Friday Lessons:  9:00 a.m.      
 Week 5 - Jul 30 - Aug2: Shooting (Matt Brady) Friday Lessons:  9:00 a.m.      
 Week 6 - August 6-9: Defense Week Friday Lessons:  9:00 a.m.      
 Week 7 - August 13-16: 3-on-3 Week Friday Lessons:  9:00 a.m.      
 Week 8 - August 20-23: Combo Week No Friday Lessons Week 8          

Select the
sessions
Player 2
will attend
by
checking
the
boxes.
 Week 1 - July 2-5: Dribble/Ball Handling
Friday Lessons:  9:00 a.m.      
 Week 2 - July 9-12: Reps/Shooting Friday Lessons:  9:00 a.m.      
 Week 3 - July 16-19: Offensive Moves Friday Lessons:  9:00 a.m.      
 Week 4 - July 25-28: Dribble/Ball Handling Friday Lessons:  9:00 a.m.      
 Week 5 - Jul 30 - Aug2: Shooting (Matt Brady) Friday Lessons:  9:00 a.m.      
 Week 6 - August 6-9: Defense Week Friday Lessons:  9:00 a.m.      
 Week 7 - August 13-16: 3-on-3 Week Friday Lessons:  9:00 a.m.      
 Week 8 - August 20-23: Combo Week No Friday Lessons Week 8          

Select the
sessions
Player 3
will attend
by
checking
the
boxes.
 Week 1 - July 2-5: Dribble/Ball Handling
Friday Lessons:  9:00 a.m.      
 Week 2 - July 9-12: Reps/Shooting Friday Lessons:  9:00 a.m.      
 Week 3 - July 16-19: Offensive Moves Friday Lessons:  9:00 a.m.      
 Week 4 - July 25-28: Dribble/Ball Handling Friday Lessons:  9:00 a.m.      
 Week 5 - Jul 30 - Aug2: Shooting (Matt Brady) Friday Lessons:  9:00 a.m.      
 Week 6 - August 6-9: Defense Week Friday Lessons:  9:00 a.m.      
 Week 7 - August 13-16: 3-on-3 Week Friday Lessons:  9:00 a.m.      
 Week 8 - August 20-23: Combo Week No Friday Lessons Week 8          

Select the
sessions
Player 4
will attend
by
checking
the
boxes.
 Week 1 - July 2-5: Dribble/Ball Handling
Friday Lessons:  9:00 a.m.      
 Week 2 - July 9-12: Reps/Shooting Friday Lessons:  9:00 a.m.      
 Week 3 - July 16-19: Offensive Moves Friday Lessons:  9:00 a.m.      
 Week 4 - July 25-28: Dribble/Ball Handling Friday Lessons:  9:00 a.m.      
 Week 5 - Jul 30 - Aug2: Shooting (Matt Brady) Friday Lessons:  9:00 a.m.      
 Week 6 - August 6-9: Defense Week Friday Lessons:  9:00 a.m.      
 Week 7 - August 13-16: 3-on-3 Week Friday Lessons:  9:00 a.m.      
 Week 8 - August 20-23: Combo Week No Friday Lessons Week 8          
Camp Registration Summary & Payment . . .
Player 1 is registered for:  
  Camp Weeks          
  Friday Lessons       Cost for Player 1:  $    
Player 2 is registered for:  
  Camp Weeks          
  Friday Lessons       Cost for Player 2:  $    
Player 3 is registered for:  
  Camp Weeks          
  Friday Lessons       Cost for Player 3:  $    
Player 4 is registered for:  
  Camp Weeks          
  Friday Lessons       Cost for Player 4:  $    
Sub-Total:  Camp Sessions & Friday Lessons      $
  No. of Players registered:      
Less:  Sibling Registration Discount      $
Total Balance Due:      $
Parents' Release, Defend, Indemnification and Hold Harmless Agreement
 READ THE FOLLOWING DOCUMENT CAREFULLY. IT IS A LEGALLY BINDING CONTRACT.

To: At The Top Camps, LLC

We (or I) hereby request that you accept the application for enrollment of our (my) above-named child(ren) in the 2011 At The Top Camps, LLC during the dates set forth in the application and consideration of your acceptance of this application, we (or I) hereby release the City of Margate, NJ / Margate Recreation / Margate Little League / Yogi Hiltner and all its employees from all claims on account of any injuries which may be sustained by our (or my) son / daughter while attending At The Top Camps, LLC. We (or I) agree to defend, indemnify and hold harmless the City of Margate, NJ / Margate Board of Education / Margate Little League / Yogi Hiltner and its employees for any claim which may hereafter be presented by our (or my) son / daughter as a result of any injuries.

In consideration of this application being accepted, We (or I), our (my) heirs, executors, and administrators intending to be legally bound, do hereby waive, release, and forever discharge (and defend, indemnify and hold harmless therefrom) any and all rights and claims for damages against the City of Margate, NJ / Margate Recreation / Margate Little League / Yogi Hiltner and their respective employees for any and all damages which may be sustained or suffered by us (me) or the above named player(s) in connection with any association or participation in At The Top Camps, LLC, including arising out of traveling to and from the camp.

We(I) also certify that we (I) have read, understand, and agree to the refund and rain policies.
This Release, Defend, Indemnification and Hold Harmless Agreement MUST BE ELECTRONICALLY SIGNED BY EACH PARENT by typing his/her name in the space provided below. Both parents or the parent(s) with legal custody must sign to register your child(ren). THIS IS A LEGALLY BINDING AGREEMENT.
 *Parent/Legal Custodian Name (signed):  
 *Parent/Legal Custodian Name (signed):  

When you have completed your registration and selections,
click to continue to the Review and Payment Page