Event registration
Riverside Youth Boys Basketball Camp
Date: June 27-28
Time 9:00-12:00
For: Anyone entering grades 3-8
Cost: $60 - Make Check to Riverside Boys Basketball
If you have any questions please Contact Coach Schmieding at scott.schmieding@riversideps.org or 
402-639-5949
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Athletes Name *
Parent or Guardian Name *
ENTERING GRADE *
T-SHIRT SIZE *
EMERGENCY CONTACT NAME  *
EMERGENCY CONTACT PHONE NUMBER *

PARENT AGREEMENT AND INDEMNITY AGREEMENT

We (or I) hereby request that you accept this application for the 2024 Riverside basketball Camp. Upon your acceptance of this application, we (or I), whether one or more, hereby release Riverside Public School, Scott Schmieding, Sam Polk and all their respective employees and coaches from all claims on account of any injuries which may be sustained by our (or my) son while attending the Riverside basketball Camp. 

We (or I) also authorize the coaching staff to call medical personnel to treat our (or my) son in the event of illness or injury.

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