Basketball 2024 Camp Registration

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Parent/Guardian please fill out the permission form for each child that is attending.

Name *

Age *

Address *

Phone Number *

The child above has permission to participate in the Midland basketball camp July 10-14, 2023. I hereby release The Center & The Midland gym and their leaders from any liability in the event of an accident or injury to my child. I understand that every effort will be made to contact me in the case of an emergency, but in the event that I cannot be reached, I authorize the treatment of this child by qualified medical personnel. I also authorize The Center to use my child's photograph in their publications. *

Parent/Guardian Name *

Emergency Contact Phone Number *

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