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MS / HS Basketball Camp Registration
Participant First Name
Participant Last Name
Parent/Guardian's First Name
Parent/Guardian's Last Name
Email
Phone
Address
City
State
Zip Code
Gender
Male
Female
Date of Birth
Grade Level
Shirt Size
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Adult XXL
I herby give my approval for my child's participation in the Stars Basketball Camp. California School for the Deaf, Riverside is not an official facility of the 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 the Stars Basketball Camp from any and all rights and claims for damages resulting from injuries to my person(s) or property that may be sustained or suffered in connection with my association with the Stars Basketball Camp. I agree to allow my child’s full participation in this program, including emergency and referral services if necessary.
Allergy to Medications? Food?
Medical Insurance Provider
Emergency Contact
Emergency Phone
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.
I hereby grant STARS Basketball Camp to transport my child in approved vehicles on and off premises for program activities and medical care.
Parent/Guardian Signature
Date
Register