All Star Basketball Camp

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Name      Nationality date of birth

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School               City

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e-mail             Mobile

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Father's name      Contact 

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Mother's name     Contact 

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Week of July 13th 

Week of July 20th 

Week of July 27th

How did you hear about the All Star Basketball Camp?

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Have you attended any camps before?  

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How long have you played basketball for? 

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Medical conditions / Allergies (if any)  

Disclaimer:

My signature indicates that I give my specific consent to my child's participation in all activities sponsored by the All Star Basketball Camp, on and off camp premises, including but not limited to basketball and other outdoors activities, and travel in camp owned or leased vehicles. Further, I agree to release and hold harmless in all respects, the camp's directors and staff with regards to any claims.

Medical / accident insurance cover is provided by the All Star Camp. The All Star Camp is hereby granted permission to secure any medical and / or surgical treatment for my child upon consultation with medical specialists.

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Parent / Guardian Signature 

                                  date:

 

Copyright © 2005 All Star Basketball Camp
Last modified: 06/01/08