Core City Hoops Summer Instructional Sessions
Complete the following information to enroll in the week-long camp for your son/daughter's age group at Catholic Central.
Camp will run from July 9th to August 17th, based on Age group, 8:30AM-4:30PM daily for one week. Please ensure your son/daughter brings a lunch with them except on Fridays as a sponsor will be providing Pizza for all the kids!! Please email
if you need any help or have questions about the camp. JUST PRESS SUBMIT ONCE!
Thank you to our sponsors!
Child's Last Name
Child's First Name
Example 1234 Main St.
Your Email Address
Main Phone #
Emergency Phone #
Additional Phone #
Child's OHIP #
Grade for Sept 2018
Has your child played basketball before?
Please select a session. Please note that it is $65 for one session and $100 for 2 sessions. Maximum of 2 sessions. Please pay by CASH or PAYPAL account. No Cheques Please. **Updated** For the last two weeks, Weeks 5 and 6, it will be $65.00 for one week or $90.00 for both.
Week 1: July 9th- July 13th--Grades 2, 3 and 4
Week 2: July 16th- July 20th--Grades 4, 5, 6
Week 3: July 23rd- July 27th--Grades 6, 7, 8
Week 4: July 30th- August 3rd--Grades 8, 9, 10
Week 5: August 7th-August 10th--Grade 8-12 (Advanced Skill and Instruction)
Week 6: August 13th-August 17th--Grades 8-12 (Advanced Skill and Instruction)
RELEASE, WAIVER AND ASSUMPTION OF RISK
WE (I) hereby acknowledge and agree that in consideration of
being permitted to participate in the activities of the Core City Hoops Rep. program;
1. WE (I) do hereby release the Core City Hoops Basketball Program, its members, officer,
directors, officer, employees and independent contractors, the other participant, sponsoring
agencies, sponsers, advertisers, owners and lessors of the premised used to conduct the event
(“Releasees”), from all liability, claims, causes of action of any kind whatsoever in respect of all
personal injuries, loss of life or property losses which our/my child or ward may suffer arising
out of the activities of the Core City Hoops Basketball Program.
2. AND WE (I) do hereby acknowledge and agree:
(a) that the activities involved in the this program and other related activities may be
dangerous and expose our (my) child to risks and hazards including the potential
for injury, disability or loss of life;
(b) that WE (I) freely and voluntarily assume all risks and hazards, both known and
unknown, even if arising from the negligence of the releasees, for our (my) child
3. THAT WE (I) have carefully read this Release, Waiver and Assumption of Risk
agreement, that WE (I) fully understand same, and the WE ARE (I AM) freely and voluntarily
4. THAT WE (I) understand clearly that by signing this Release, WE (I) will be forever
prevented from suing or otherwise claiming against the Core City Hoops Basketball Program, its
members, officers, directors, employees, volunteers or other releases.
I have read the above waiver and agree to the terms and conditions
Name of Legal Guardian
Never submit passwords through Google Forms.
This form was created inside of Windsor-Essex Catholic District School Board.
Terms of Service