Summer basketball camp registration

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Please complete this form to register for any one of five Summer basketball camps with Coach Carlos Humphrey.

1. Select the camp(s) you would like to attend:

Shooting camp: Mon-Fri, June 24-28, 9am-4pm: $260

Ball-handling camp: Mon-Fri, July 1-5, 9am-4pm: $260

All-girl's camp: Mon-Fri, July 8-12, 9am-4pm: $260 (at Shorewood High School)

Hoops camp: Mon-Fri, July 15-19, 9am-4pm: $260

Short week camp: Mon-Wed, July 29-31, 9am-4pm: $120

2. Name of athlete:

3. Gender:

Male

Female

Clear selection

4. Grade of athlete in Fall of 2019:

5. Current school:

6. Future/current high school:

Shorecrest

Shorewood

Kings

Other:

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7. Name of parent:

8. Parent phone #:

9. Parent email address:

10. Promotional consent (you have my permission to use images of my child, unnamed, in camp promotional materials):

Yes

Clear selection

11. I hereby authorize the Shorecrest Basketball Camp Director to act for me according to his best judgment in any emergency requiring medical attention. I know of no mental or physical problems that 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.*

Yes

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