2025 Stars Registration Form | Stars Basketball Camp

2019 STARS Basketball Camp on June 26th- June 30th

Participant Name*
First Last
Parent/Guardian Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Date of Birth*
MM
DD
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Grade Level:
Shirt Size
- Youth Small
- Youth Medium
- Youth Large
- Youth X-Large
- Adult Small
- Adult Medium
- Adult Large
- Adult X-Large
Waiver - Enter your Initials*
I herby give my approval to his/her participation at the Stars Basketball Camp. School for the Deaf is not an official function of STARS Basketball Camp. Each camper must be covered by her/his parent’s insurance before participating in any of the camp activities. I herby waive, release, discharge Stars Basketball Camp and SD from any and all rights and claims for damages resulting from injuries to my person or property that may be sustained or suffered by me in connection with my association with Stars Basketball Camp. I agree to give my child’s participation in this program including emergency and referral services if necessary.
Allergy to Medications? Food?
Medical Insurance Provider*
Emergency Contact*
Phone*
Enter your Initials*
I hereby grant STARS Basketball Camp staff full permission to use for publicity and advertising purposes any photographs or video taken of my child during camp.
Enter your Initials*
I hereby grant STARS Basketball Camp to transport my child in personal vehicles on and off premises for program activities and medical care.
Parent/Guardian Signature*
Type your full name please.
Date*
MM
DD
YYYY