2022 Colts Basketball Camp
Registration for Coahulla Creek youth basketball camp for boys who have 1st-9th grade.  Cost is $60 (Sibling Groups $55 each)
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Email *
First Name of participant *
Last Name of participant *
Grade in 2022-2023 *
Parent Name *
Emergency Contact Name (First and Last) and relationship to participant *
Emergency Contact Phone Number *
Any allergies or medical needs we should know about. If None, just type "None". *
T-Shirt Size *
Liability Release and Wavier
Liability Release and Parental Consent Form
In consideration of the acceptance of my application for the above program, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or which may hereafter occur to me as a result of participation in said event. This release is intended to discharge in advance Coahulla Creek High School, its officials, officers, employees, volunteers and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. It is understood that some recreational activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assignees.
Parental Consent (Complete if applicant is under 18)
I give consent for my child , who is registered above to participate in the basketball camp, and I execute the above liability release on their behalf.

Please place a digital signature below agreeing to the above wavier.
Wavier Digital Signature - (Parent or Guardian) *
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