2024 Coach Jaron Lane's Boys & Girls Basketball Camp

Ellinwood Recreation Commission

Please complete one form per child. By completing the registration form online, you will be asked to pay for registration fees online during checkout. You will receive an email confirmation after checkout, and we will also try to text or email you a reminder a few days before your child's activity starts!

Please contact us with any additional questions:

Stephen Richter, Executive Director

Office: 620-566-7323

Cell: 620-617-6763

Email: ellinwoodrec@gmail.com

Our office is located above Sunflower Bank in Ellinwood.

Mailing address is PO Box 342, Ellinwood, KS 67526.

Activities Menu

Instructors: Coach Lane & the Ellinwood High School Basketball Team

Location: Ellinwood Grade School Gym

Age Groups/Meeting Times:

4yrs old - Kindergarten: 9am-9:45am

1st-2nd Grade: 10am-10:45am

Practice Dates:

October 5th

October 12th

October 19th

October 26th

The deadline to enroll is September 22nd, 2024.

Sign Up My Child!
Cost: $20 per player
Ages: 4yrs old-Kindergarten, 1st-2nd Grade

Sign Up My Child

Parent / Guardian Information

Are you signing up your child? *

First Name *

Last Name *

Phone Number *

Email Address *

Mailing Address *

City *

State *

Zip Code *

Child Information

Student First Name *

Student Last Name *

Gender *

Age *

Student Birthdate * +

Student Grade Level *

Shirt Size *

Release Form

I, the undersigned, hereby consent to myself/child enrolling and participating in all Ellinwood Recreation Commission activities. I acknowledge that the activities involved by their nature involve some inherent risk. I assume all physical risks and hazards involved in the conduction of recreational programs and hereby release, and hold harmless this organization and any other civic or private party organization involved in any way in the activity from any liability as a result of an accident which may occur in conjunction with said participation and the result of bodily injury to myself/child. This release is intended to include all individuals and representatives of the organizations and individuals and representatives participating in recreational programs. I further acknowledge and understand that no insurance is provided by the Ellinwood Recreation Commission, Kansas or any other organization or entity assisting with promoting or conducting the program, travel and activities.

I hereby give Ellinwood Recreation Commission permission to us my name/child’s name, my photography, and/or footage shot at recreational activities to be used in print advertising, broadcast advertising, and website advertising for the Ellinwood Recreation Commission. I waive rights to any and all payments concerning the use of my photographs and or audio video recordings.

By signing below you agree to both statements above:

Parent/Guardian Signature *

Checkout & Payment

Current Total:

$0.00