1 Week-Miami Heat Jr. Basketball Camp: Travel Form

July 21st- July 27th

Trip Cost: $1,790 per Athlete | $1,300 per Parent | Plan Your Own Trip: $525 per Athlete

Child's First Name *

Child's Last Name *

Shirt Size *

Will the athlete need a police record or do they have a U.S. Visa? *

Valid Passport

U.S. Visa

When does the athletes' passport expire? *

Please Upload Passport *

The max file size is 10MB.

Please upload a file before submitting.

Will a a parent/guardian be travelling with this athlete? *

Yes

No

Accompanying Parent/Guardian Info 1

Parent/Guardian's First Name

Parent/Guardian's Last Name

Parent/Guardian's Cell Phone

Parent/Guardian's Email

Accept to receive marketing news by email.

What is their relation to this athlete?

Shirt Size

Will the parent/guardian need a police record or do they have a U.S. Visa?

Valid Passport

U.S Visa

When does the passport expire?

Please Upload Your Passport

The max file size is 10MB.

Please upload a file before submitting.

Accompanying Parent/Guardian Info 2

Parent/Guardian's First Name

Parent/Guardian's Last Name

What is their relation to this athlete?

Shirt Size

Parent/Guardian's Phone

Parent/Guardian's Email

Accept to receive notifications by email.

Will the parent/guardian need a police record or do they have a U.S. Visa?

Valid Passport

Police Record

When does the passport expire?

Please Upload Your Passport

The max file size is 10MB.

Please upload a file before submitting.

Emergency Contact

First Name *

Last Name *

Phone *

Email *

Accept to receive marketing news by email.

Medical information

Is the child vaccinated? *

Yes

No

Does the child have allergies? *

Yes

No

If yes, specify.

Does the child have any medical conditions? *

Yes

No

If yes, specify.

Medical Release:

I hereby authorize the adult staff of MHB to act on my behalf according to their best judgment in any emergency situation requiring medical attention and I hereby waive and release MHB and their staff and affiliates from any and all liability for any injuries or illnesses incurred at camp. I have NO KNOWLEDGE of any physical impairment or otherwise that would prevent my child from participation in the class, and according to our family physician my child is fit to participate in all activities.

*

Yes, I agree

Liability Waiver:

I/We, the undersigned, our heirs,
executors and administrators, waive, release, and forever discharge MHB and its staff, from all rights and claims for damages, injury, or loss to person or property which may be sustained during participation in class activities or while at class. In agreeing to this release the undersigned hereby acknowledges and represents that they are aware of the risks and hazards inherent in participating in this program, and that no insurance covering accident or injury has been provided for the participants, and that arrangements for any such insurance should be made individually by the undersigned.

*

Yes, I agree

Likeness Waiver:

By agreeing to this, I agree to allow any photos
taken by MHB to be used in any marketing the company may undertake.

*

Yes, I agree

Payment Options *

Cash/Cheque at the Gym

Online Wire Transfer

■ Bank: First Caribbean International Bank (FCIB)

■ A/c Name: Marvin J. Henfield

■ Type: Savings Account

■ A/c Number: 2016-35559

■ Branch Code/Transit Number: 09736

■ Branch Location: Carmichael Road

Ensure to send a photo of payment and name of child to 242-828-2353/242-424-2353

Miami Heat Jr. Camp Venue & Location:

》Venue: SLAM Miami High School

》Address: 542 NW 12th Ave, Miami, FL 33136

ACCOMMODATIONS:

》Venue: Embassy Suites by Hilton Miami, International Airport

》Address: 3974 NW South River Drive

TRAVEL INSURANCE:

》$35.00 Basic Plan: Includes coverage for Trip Cancellation, Trip Interruption, Lost Baggage, and Accidental Medical and Dental based on the plan schedule to be provided after ticket purchase.

FINAL ITINERARY:

》Final Plans: A copy of our final travel itinerary will be provided on or before May 30,
2024, with complete details per our planned trip.

Order products

Order Total (The sum of all the prices of all the items in the order, taxes and discounts included.)

Contact information

Shipping address

Billing address