FUNdamentals Basketball Academy

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Hosted by: Fort Payne High School coaches and alumni players.

Email *

Legal Guardian's Last Name *

Legal Guardian's First Name *

Legal Guardian's Email Address *

Legal Guardian's cell number for REMIND group

Participants Last Name *

Participants First Name *

Legal Guardian/Emergency Contact NameName *

Legal Guardian/Emergency Contact Number *

Grade Entering Fall 2023 *

Participant's Birthday

Participant's Age *

I certify that as the parent or legal guardian of the above listed camp participant agree to accept full responsibility for any expenses or for any accident, injury or illness which my child may incur as a result of participating in the Fort Payne Basketball Camp. I further agree to release the City of Fort Payne, Fort Payne Basketball Camp Staff, and Fort Payne City Schools from future liability related to my child’s participation. *

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