2017 Lady Raven Basketball High School Camp Enrollment
Please completely fill out the following and submit.
Your enrollment will not be complete until we receive your camp fee of $75 (or deposit of $35) made out to JOEL BRANSTROM. A Confirmation email will be sent to the email address you provide once payment has been received.
Email address *
Camper's LAST Name *
Camper's FIRST Name *
Grade Entering Fall of 2017 *
What school did they attend in 2016-17 School Year? *
Parent/ Guardian Names *
Parent Email Confirmation from above *
*Important camp info. and confirmation communicated through email
Preferred Emergency Phone Number *
* with Contact Name (& relationship) * Ex. (913) 987-6543 John (dad)
Secondary Emergency Phone Number *
*with Contact name (& relationship)
Any Medical Issues we need to be aware of? *
* If "yes" click on "Other" and please describe the condition along with what we need to know.
Camper T-Shirt Size (unisex sizes): *
Camper Practice Shorts Size: *
These are unisex sizes
Consent *
I hereby agree to accept full and complete responsibility for all medical or other expenses necessary as a result of injury during the Olathe Northwest Lady Raven Basketball Camp. I also agree to release Olathe Public Schools and all camp staff from liability for injuries or accidents that might occur due to participation in camp activities, or that result in transit to or from Olathe Northwest Basketball Camp. I understand that this camp is not a school sponsored event.
Registration/ Payment Confirmation *
I understand my registration will not be complete until Coach Branstrom receives payment via the mail and then I will be given a confirmation email that my child's registration has been accepted.
Please Make your Check or Money Order to : JOEL BRANSTROM
Please send Check/ money order of $75 (or $35 nonrefundable deposit) to: 22453 W. 113th Terr., Olathe, KS, 66061
A copy of your responses will be emailed to the address you provided.
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