JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
LCHS Kids Winter Basketball Camp Registration
Event Timing: December 29-30, 2021, 1:00-3:00 p.m.
Event Address: Lake City High School
Contact James Anderson @ (208) 284-2918 or
janderson@cdaschools.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Player Name
*
Your answer
Gender
*
Female
Male
Required
School Currently Attending
*
Skyway
Ramsey
Winton
Bryan
Fernan
Atlas
Hayden Meadows
Dalton
Borah
NW Expedition Academy
Sorenson
Lakes MS
Woodland MS
Canfield MS
Home School
Private School
Other:
Grade for 2021-22 School Year
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Required
Parent Names:
*
Your answer
Parent Phone #'s
*
Your answer
Parent Email Address
*
Your answer
Additional Emergency Contact Person + Phone#
*
Your answer
Health Insurance Information - Include Company and Policy Number
*
Your answer
Medical Authorization - I hereby authorize my child’s participation in the Lake City Basketball Camp. I know of no physical or mental disorders which may affect my child’s ability to participate in this camp. I recognize the risks inherent in my child’s participation, and I assume full responsibility for all injuries that may arise. I waive and release the Coeur d’Alene School District and all instructors from any and all liability for any injuries incurred while participating in this camp. Type Your Name Below to Agree with Medical Authorization
*
Your answer
Dietary restrictions, allergies, medical conditions we need to be aware of?
*
Your answer
I understand that I will have to pay $$ upon arrival - $60 or $40 for 2nd person from same family.
*
Yes
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Coeur d' Alene School District.
Report Abuse
Forms