2023 Summer Basketball Camp Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

To participate in the 2023 Shiloh Summer Basketball Camp, please fill out the brief form below to help us prepare drills, activities and games that will be appropriate for our group. Fir siblings, be sure to each complete the form separately.

Please identify any allergies or medical information that you would like the school to be aware of while attending.

Participant's Name:

Grade:

Date of Birth:

YYYY

Parents' names and phone numbers:

Emergency Contact: name & phone number:

Level of basketball experience

Beginner

Intermediate

Advanced

Clear selection

Hold Harmless

I understand and acknowledge that by checking the box below, I am entering into this agreement and providing consent to this agreement on behalf of myself, my heirs, executors, administrators, and assigns, and do voluntarily agree to hold harmless, release, discharge, and covenant not to sue the Shiloh School District, its officers, employees, and agents (“the related parties”) from all liabilities, claims, demands, or causes of action for personal injury, property damage, or even death, arising out of my child participating in the 2023 Shiloh Summer Program Youth Basketball Camp.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Shiloh.k12.ca.us. Report Abuse

Forms