Camper Registration Form
Upon completion of this registration form, your spot will be reserved for the 2020 Raiders March Break Basketball Camp. Once completed, please be sure to complete your desired method of payment.
You have two options for payment.
1) By Cheque/Cash:
Please make cheques payable to St. Thomas Aquinas Secondary School and drop off or mail to:
St. Thomas Aquinas C.S.S
c/o Joe Polizzi
124 Dorval Drive
2. Online Payment:
Once processed, please print a copy of the receipt for proof of payment.
Camper Name: (First, Last)
Adult Extra Large
Year of Birth
Grade (Current Year)
Health Card # (Optional)
Primary Phone #:
Work Phone #:
Secondary Emergency Contact Name:
Secondary Emergency Contact #:
Any Additional Information:
Please choose your method of payment.
School Cash Online
Cheque (dropped off at main office at STA)
Cash (dropped off at main office at STA)
I understand that St. Thomas Aquinas Catholic Secondary School, St. Thomas Aquinas CSS Basketball Camp staff/volunteers, and the Halton Catholic District School Board does not assume or accept responsibility for any expenses resulting from loss (personal injury, lost or stolen property, property damage, other expenses) or injuries sustained while engaged in any activity whatsoever whether on or off school premises. I also authorize my child's attendance at the St. Thomas Aquinas CSS Basketball Camp and certify that he/she is able to participate in the program activities. I declare having read and understood the above WAIVER/INFORMED CONSENT AGREEMENT in its entirety and hereby consent to participate acknowledging all the foregoing. If I am registering a minor, I certify that I am the parent/guardian for that minor, and agree to the above on their behalf.
I have read, understood and agree to the terms and conditions listed above.
Photos/videos of campers will be taken throughout the week for camp highlight videos, photos, and/or promotional items that may be posted online.
YES, I DO grant permission for use of any photos of my child for such items listed above.
NO, I DO NOT grant permission for use of any photos of my child for such items listed above.
Send me a copy of my responses.
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