Tyus Jones Basketball Camp Registration Form

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When: Thursday, June 27th, 2019
Where: Rochester John Marshall High School
Cost: $75 (checks or cash only - payment due at check in)

Spots are limited so register today! You will receive confirmation once you click the submit button.

If you have questions please contact darcy.cascaes@gmail.com

Session *

Morning 9am - 12pm (Grades 1-6)

Afternoon 1pm - 4pm (Grades 7-12)

Camper First Name *

Camper Last Name *

Address *

City *

State *

Zip Code *

Camper Grade (2019-2020 school year) *

What level of basketball did you play in 2018-2019

Parent/Guardian Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Emergency Contact Name *

Emergency Contact Phone Number *

Are there any health concerns we should be aware of?

Waiver *

By checking the box, I hereby grant permission to the staff to act for me, according to their best judgment, in any emergency requiring medical attention. I release Tyus Jones and all camp staff from any and all liability for injuries incurred while at camp.

Required

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