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East Coast Basketball Camp Registration
Email address *
Camper's Name *
Your answer
Address *
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Phone number *
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Emergency Phone *
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Sex *
Age on First Day Of Camp *
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Grade in 2018-2019 School Year *
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School Now Attending
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Waiver Statement/Please Sign below: I waive and release East Coast Basketball Camps from any and all liability from injury and illness going to camp from home or while at camp or while returning home. I, as parent/guardian, have actual knowledge and appreciation of the particulars of the program and hereby voluntarily consent to said minor's participation, and assume the risk arising therefrom. I hereby give my permission for emergency medical treatment in the event I can not be reached.East Coast Camps requires a physical examination within the 12 month period of the date the camper is scheduled to attend camp.My name below signifies that I have read the above paragraphs and that my child has had or will have a complete physical within 12 months prior to the opening of camp and it is my responsibility to notify camp personnel of any medical condition that may affect my child's participation. *
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Choose Your Camp *
T-Shirt Size *
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