Dwayne Killings Basketball Camp – Warren and Denyse Mackey Foundation

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Support Request

Dwayne Killings Basketball Camp 2025

July 14 -18th: Register to attend the Dwayne Killings Summer Basketball Camp. The Warren and Denyse Mackey Foundation is sponsoring a limited number of slots for campers to attend this fantastic camp at SUNY Albany’s Broadview Center. The Camp runs from 8:30am to 3:30pm. Ages: Kindergarten – 7th Grade (Camper must not have taken a 7th grade class or above.) CAMPERS MUST ALSO BE A RESIDENT OF THE CITY OF ALBANY.

Dwayne Killings Basketball Camp Registration

July 14 -18th: Register your child to attend the Dwayne Killings Summer Basketball Camp. The Warren and Denyse Mackey Foundation is sponsoring a limited number of slots for campers to attend this fantastic camp at SUNY Albany's Broadview Center. The Camp runs from 8:30am to 3:30pm. Ages: Kindergarten - 7th Grade (Must not have taken a 7th grade class or above.) CAMPERS MUST BE A RESIDENT OF THE CITY OF ALBANY. *55 camper MAXIMUM*

Step 1 of 3

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Parent/Guardian Details

Please complete this form to authorize participation and register campers for the Dwayne Killings Summer Basketball Camp July 14th - July 18th.

Name(Required)

First Last

Parent or Guardian Name

Gender(Required)

Male

Female

Email(Required)

Enter Email Confirm Email

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Insurance Provider(Required)

Your insurance carrier that covers the camper

Insurance Policy Number(Required)

I authorize camp officials to call this number in case of emergency(Required)

Emergency contact during the camp hours: 8:30a -3:30p

I authorize the person named below to pick my camper up

First Last

Your camper will be released to this individual

Phone number of the person authorized to pickup my camper

This person will be contacted if late for pickup

Basketball Camp Participant

Who will be attending the camp?

Campers Gender(Required)

Male

Female

Camper's Name(Required)

First Last

Camper's Date of Birth(Required)

MM slash DD slash YYYY

Camper's School Grade level(Required)

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

Select the campers grade level for next FALL

Allergies?(Required)

Please list any known allergies that this camper has

Health Conditions?(Required)

List any known health conditions of the camper

T Shirt Size(Required)

Small

Medium

Large

Extra Large

What size T-Shirt does your camper wear? (child sizes)

Important Details

We are NOT providing transportation this summer, but CDTA is donating bus passes for campers. Will your camper need a bus pass?(Required)

Yes

I grant permission for this camper's photograph, image or likeness to be used in promotional materials for the Killings Basketball Camp or The Warren and Denyse Mackey Foundation.(Required)

Yes

The Warren and Denyse Mackey Foundation may contact me after the camp for feedback or a testimonial from me and my camper.(Required)

Yes

How did you hear about this camp?(Required)

Phone

(518) 376-6567

Email

support@WDMackeyfoundation.org