FCA Coaches Care Basketball Camp by Caddo Parks and Recreation
Sponsored by Caddo Commission, LHSBCA, FCA, New Orleans Pelicans, SPAR, Caddo and Bossier Schools

Ages 6-11 (9:00AM - Noon)
Ages 12-16 (12:30 - 3:30PM) * No afternoon group at BPCC, all in morning!

July 16-18, 2018

July 16-17 camp locations:
Bossier Parish Community College (ONLY MORNING AT BPCC) and YMCA

July 18 camp location:
Centenary College

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Camper's First Name *
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Camper's Last Name *
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Camper Date of Birth *
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Parent/Guardian First Name *
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School Last Attended
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Home Address
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Release of Liability By signing this Student Permission Waiver Form, I expressly warrant that the student named above is capable of withstanding both the physical and mental demands of the activities discussed above. I also expressly assume all risks of the student participating in the activities, whether such risks are known or unknown to me at this time. I further release the Fellowship of Christian Athletes (FCA) and (PARTNERING ORGANIZATION) and its leaders, employees, Officers, Directors, volunteers, and agents from any claim that my student may have or that I may have against them as a result of injury or illness incurred during the course of participation in the activities. This release of liability shall include (without limitation) any claims of negligence or breach of warranty. This release of liability is also intended to cover all claims that members of the student’s or my family or estate, heirs, representatives, or assigns may have against this organization or its leaders, employees, volunteers, or agents. I further agree to indemnify and hold harmless FCA and (PARTNERING ORGANIZATION) and its leaders, employees, volunteers, or agents from any and all claims arising from my student’s participation in its activities and programs, or as a result of injury or illness of my student during such activities. *
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