Lady Panther Youth Basketball Camp 2021

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Athlete's First Name *

Athlete's Last Name *

Grade Athlete Entering in Fall 2021 *

Parent/Guardian Name *

Parent/Guardian Phone Number *

Athlete's Address *

By checking the following box, I/We know that athletic participation is a privilege. I/We know of the risks involved in athletic participation, understand that serious injury and even death is possible in such participation, and choose to accept such risks. I/We voluntarily accept any/all responsibility for my/our own safety and welfare while participating in athletics, with full understanding of the risks involved. *

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