Basketball Camp Registration Form: 2023

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Parent Name: *

Parent Phone Number: *

Parent Email: *

Camper's Name: *

The grade the camper will be going into: *

Anything you would like me to know about your camper: *

Medical Release Waiver: I hereby authorize the directors of Youth Basketball Camp to act for me according to their best judgment in any case of emergency requiring medical attention. I know of no mental or physical problems which might affect my child's ability to safely participate in the camp. I will be responsible for any medical or other charges in connection with his or her attendance at camp. I have read this and understand the conditions set forth in this statement. Please type your name for approval. *

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