Lady Bearcats Little 'Cats Basketball Camp Sign-up
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Student Name *
Parent Name *
Grade They Are Entering *
Phone Number *
Email Address *
T-Shirt Size *
Emergency Contact Name *
Emergency Contact Number *
Does your player have asthma? *
In case of emergency, do you want the camp directors to seek medical care? *
If yes, please name the physician and their phone number.
LIABILITY WAIVER (Sign Below): I am aware that participation in the Lady Bearcats Basketball Camp has some inherent risks and injury can occur. On rare occasions, these injuries can be serious. In consideration of my child being allowed to participate in the Lady Bearcats Basketball Camp, I, the parent/guardian, assume the risk of all injury and agree not to sue Paint Valley Local Schools, the camp directors, coaches, assistant coaches, agents, or volunteers for any and all injuries caused by or resulting from participating in the Lady Bearcats Basketball Camp. By signing this waiver, I also authorize the use of pictures of the above-named participant to be posted on the Paint Valley Lady Bearcats Twitter & Facebook pages. *
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