Goshen Rec Summer Basketball Camp 2021
Sign in to Google to save your progress. Learn more
Email *
Boys and Girls Camp Dates:  July 12-July 16, 2021
3rd-8th grade
Camp Time and Location:  9:00 am - 2:00 pm at Goshen High School or CJ Hooker Middle School
Camper FIRST Name *
Camper LAST Name *
Boys or Girls? *
Camper Date of Birth *
MM
/
DD
/
YYYY
Camper Grade THIS school year (2020-2021) *
Parent FIRST Name *
Parent LAST Name *
Parent Cell Phone Number *
Emergency Contact Name *
Emergency Contact Number *
Medical issues to be aware of... *
Cost - $150 cash or check (payable to Gladiators Basketball).
Please bring on Monday, July 12
Program Release
I (We) hereby permit my (our) son/daughter to participate in BASKETBALL AAU/CAMP AT GOSHEN CSD .  I (We) understand and assume all risks, which may include, but are not limited to sprains, fractures, ligament or cartilage damage, neck and spinal injuries, and serious injury to muscles, internal organs, and/or brain, associated with said participation, and recognizes the importance of following instructions. As part of this agreement to permit my (our) son/daughter to participate in BASKETBALL AAU/CAMP, my child and I (We) fully understand and consent to the rules, guidelines and disciplinary policies and procedures involved with GOSHEN CSD. I (We) acknowledge that we have been properly advised, warned, and cautioned by GOSHEN CSD that participation in BASKETBALL can result in a participant suffering serious injury.  Having been cautioned and warned, with full knowledge and understanding of the risk of serious injury from participation in BASKETBALL AAU/CAMP, I (We) do hereby grant permission to the staff to authorize emergency medical treatment for my son/daughter. I (We) will assume all responsibilities from that point on for payment of all medical liabilities, etc., and do hereafter release GOSHEN CSD, its staff and volunteers for any and all further liability.
I (We) hereby give my child permission to participate in BASKETBALL CAMP at GOSHEN SCHOOLS. *
Note:  Campers Must Bring Water and Peanut-Free Lunch
One More Note:  We will adhere to all guidelines and protocols under NYS regulation.  More on this to come.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Goshen Central School District. Report Abuse