Broncos Water Ducks
Before filling out this form, you will need to have paid for the camp you are signing up to attend. You can pay for this camp on the website under the "Water Ducks" tab. Look for the session payment box for the session you are wanting to attend. The PayPal confirmation number is needed to fill out this form. Thank you for your help in improving our water duck camps!
Session *
PayPal Confirmation Number
Please make your PayPal payment PRIOR to completing this form. In the blank below, please insert your PayPal confirmation number given to you as a receipt.
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Athlete's Name *
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Athlete Current School *
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Athlete Date of Birth *
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Parent/Guardian Name(s)
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Parent Primary Email Address
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Parent Contact Phone *
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Emergency Contact Name *
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Emergency Contact Phone Number *
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Name of Guardian Authorizing Form *
*My son/daughter has permission to participate in the Winter Water Polo Camp. Should it be necessary for my child to have medical treatment while participating at the camp, and if the camp is unable to contact me, I hereby authorize Clovis Unified School District personnel to use their judgment in obtaining medical services for my son. I also understand that there is an injury risk with participation in sports and release Clovis Unified School District of any liability. Also, in accordance with CIF bylaw 207, any athlete who transfers from School “A” to School “B” after having prior contact, during the previous 24 months, either directly or indirectly with school “B” prior to enrollment shall not be eligible at School “B” for 365 days from initial date of enrollment. This includes this camp, clinic, AAU, club team, and/or workouts.
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