Ninnekah Basketball Camp 2022
May 11th-13th, 2022- Grades 1st-6th Grade
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First and  Last Name
Age and Grade
Parent/Guardian Name & Phone Number
Emergency Contact Name and Number
T-shirt size
Does camper have asthma?
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Medical Waiver Release--- I am aware that participation in the Ninnekah Basketball Camp has some inherent risks and injury can occur. On rare occasions these injuries can be serious. In consideration of my child being allowed to participate in the Ninnekah Basketball Camp, I, the parent/guardian, assume the risk of all injury and agree not to sue Ninnekah Public Schools, the camp directors, coaches, assistant coaches, agents, or volunteers for any and all injuries caused by or resulting from participating in the Ninnekah Basketball Camp.   Type name below if you agree to waiver.   *
All checks and money can be sent to address listed below or brought the first day of camp at check-in.                                      Ninnekah Public Schools                                                              Attention Coach White                                                        PO Box 275                                                                                    Ninnekah, OK 73067                                                                                   Make checks payable to Ninnekah Girls Basketball                                                                 *
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