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2024 Lady Raven Basketball High School Camp Enrollment
Camp will Occur May 28th - 31st from 9:00-11:00am (Tue-Fri)
Please completely fill out the following and submit. The cost of camp covers camp costs (insurance/ shirts...etc.) and supplements staff as they will work with kids during the week and throughout the summer period.
Your enrollment will not be complete until we receive your camp fee of $75 (or deposit of $35). There are 3 different ways to complete payment. Check, PayPal or Venmo. Checks will need to be made out to JOEL BRANSTROM. A Confirmation email will be sent to the email address you provide once payment has been received.
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* Indicates required question
Email
*
Your email
Camper's LAST Name
*
Your answer
Camper's FIRST Name
*
Your answer
Grade Entering Fall of 2024
*
9th
10th
11th
12th
Other:
Required
What school did they attend in 2023-24 School Year?
*
Your answer
Parent/ Guardian Names
*
Your answer
Parent Email Confirmation from above
*
*Important camp info. and confirmation communicated through email
Your answer
Preferred Emergency Phone Number
*
* with Contact Name (& relationship) * Ex. (913) 987-6543 John (dad)
Your answer
Secondary Emergency Phone Number
*
*with Contact name (& relationship)
Your answer
Any Medical Issues we need to be aware of?
*
* If "yes" click on "Other" and please describe the condition along with what we need to know.
None
Other:
Required
Camper T-Shirt Size (unisex sizes):
*
Adult Small
Adult Medium
Adult Large
Adult XL
Required
Consent
*
I hereby agree to accept full and complete responsibility for all medical or other expenses necessary as a result of injury during the Olathe Northwest Lady Raven Basketball Camp. I also agree to release Olathe Public Schools and all camp staff from liability for injuries or accidents that might occur due to participation in camp activities, or that result in transit to or from Olathe Northwest Basketball Camp. I understand that this camp is not a school sponsored event.
Agree
Disagree ...If "Disagree" we will need documented rationale of your refusal to agree along with your signature
Required
Registration/ Payment Confirmation
*
I understand my registration will not be complete until Coach Branstrom receives payment via the mail and then I will be given a confirmation email that my child's registration has been accepted.
Yes, by Check (see instructions below to complete this way
Yes, via Venmo ( @OlatheJTL ) the last 4 digits to cell # is 6312 ...if needed
Yes, via PayPal (a link to do this will appear after you hit submit)
No, please contact me with more information
Required
Please Make your Check or Money Order to : JOEL BRANSTROM
Please send Check/ money order of $75 (or $35 nonrefundable deposit) to: 25208 W. 97th Terr., Lenexa, KS, 66227
Your answer
A copy of your responses will be emailed to the address you provided.
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