2022 Pure Skills Camps - Registration Form
Fill this form out, click submit and then make payment using Venmo @Jesse-Krasna or the PayPal button on the camp web page: https://pureskillshoops.wixsite.com/pureskills/camps
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Email *
Camper First Name *
Camper Last Name *
Camper School
Camper Grade (as of Sept 2022) *
Parent Cell # *
Please check all camps that you are registering for. Camps are $230 per week. *
Required
Method of Payment *
Total Amount *
Is there anything else we should know about your child?
As the parent or guardian of the participant named on this registration form who is a minor, I accept and assume any and all risks associated with his/her/their attendance and participation in the camp and its activities. I understand that my child(ren) must abide by camp policies and the instructions of the camp staff. I agree that should my child be dismissed from camp no part of my tuition will be refunded. I understand that no reduction in the tuition will be made for late arrival, early departure, vacations, illness, or injury. In the event that I cannot be contacted in an emergency, I hereby grant Pure Skills Basketball Camp staff permission to give immediate assistance and/or take my child to the hospital emergency room. Permission is hereby granted for photographs and or videos to be taken of my child at camp and Pure Skills Basketball Camps has the right to utilize these in our brochures, videos, slide shows, web site, and other camp materials. Knowing these facts and in consideration for your accepting my child(ren)’s application, Pure Skills Basketball Camp, Council Rock School District and Charger Nation are not responsible for accidents, injuries, and/or medical or dental expenses arising from my child(ren)’s participation in the camp and, accordingly, I Covenant not to sue, and waive, release, and discharge Pure Skills Basketball Camp, Council Rock School District, Charger Nation and anyone working on their behalf from any and all claims of liability or expenses of any kind or nature whatsoever arising out of or relating to my child(ren)’s participation in the camp. I have carefully read all of the information in this application and agree to all conditions. By clicking "yes" I agree to the above terms. *
Name of person filling out form *
A copy of your responses will be emailed to the address you provided.
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