2023 Roosevelt Girls Basketball Summer Camp
CAMP DATES/TIMES: July 17, 18, 19, and 20, 2023 from 9AM-2PM
AGES: Incoming 4th, 5th, 6th, 7th, 8th, and 9th grades
LOCATION: Roosevelt High School Gym 1410 NE 66th Street  Seattle, WA 98115 (entrance off 12th Ave NE)
COST: $300* (Scholarship Cost = $75.00* minimum)   
      Pay by Venmo @Sara-Swanson-27 (last 4 phone number = 4161)  
      OR   
      Make checks payable to: 
                  Roosevelt Athletic Boosters - Girls Basketball 
                  c/o RHS Girls Basketball 
                  1410 NE 66th St  
                  Seattle, WA 98115  
      [BE SURE TO INCLUDE CAMPER'S NAME in payment notes]
      *REFUNDS SUBJECT TO A $40 ADMINISTRATIVE FEE. NO REFUNDS AFTER 7/5/2023.
WHAT TO BRING: Wear athletic clothing. Bring Water bottle, Sack lunch, Snacks, and a basketball (Do NOT bring any valuables, we are not responsible for lost or damaged items)

ABOUT US: The Roosevelt Girls Basketball Summer Camp is staffed by Head Coach, Will McClain, his coaching staff and our veteran RHS players. Your daughters will work on fundamental skills, full court and advanced drills, competition and shooting games, scrimmages, and much more! It is our goal for campers to learn the fundamentals of basketball, develop a love of the game, make new friends, and learn and follow the Rider PRIDE core values (which includes Respect for yourself, teammates, opponents, other campers, coaches, and counselors). Last year, camp reached capacity quickly! Tell your friends to register early to ensure a spot for a fun filled week of basketball! T-shirts are guaranteed if the registration is made by 6/30/2023.
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Email *
Camper's First and Last Name: *
Incoming Grade (Fall 2023): *
Birthdate: *
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School (Fall 2023): *
Tshirt Size: *
Any health or behavioral conditions of the camper that we should be aware of? *
Parent/Guardian First and Last Name(s): *
 Parent/Guardian Email(s): *
Parent/Guardian Phone Number(s) *
Street Address *
City *
State *
Zip code *
Insurance Provider *
Insurance Subscriber *
Insurance # (& Group # if applicable) *
Preferred Hospital, in case of emergency
Emergency Contact #1 (First & Last Name) *
Emergency Contact #1 Phone Number *
Emergency Contact #2 (First & Last Name)
Emergency Contact #2 Phone Number
I understand that my registration payment is due immediately upon completion of this registration via Venmo(preferred) to @Sara-Swanson-27 (last 4 phone number = 4161 OR Check made out to Roosevelt Athletic Boosters). *
Required

I give permission for images of my child, captured during the 2023 Roosevelt Girls Basketball Camp through video, photo and digital camera, to be used solely for the purposes of the Roosevelt Athletic Boosters promotional material and publications, and waive any rights of compensation or ownership thereto.  I would also like my child to be included in the team photo which will be shared with me and other camper families for personal use only.

 *

PARENT/GUARDIAN/PARTICIPANT RELEASE FORM: I/We agree that neither Seattle Public Schools, the staff and volunteers of Seattle Public Schools, nor the student organization of Seattle Public Schools shall in any way be held liable for any accident or injury in any way received on account of or while engaged in any athletic activity sponsored by the District. I/We further agree that neither the District nor any of their staff, volunteers, or student organizations shall be responsible for the payment of any bills rendered for medical services as a result of such accidents or injuries. I/We also acknowledge that it is our responsibility to provide for any medical, disability or other insurance to mitigate any costs that may be unfortunately incurred as a result of participation in this activity. By checking the box below, I certify that I have read the above, understand its content, and agree to its terms.

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How did you hear about this camp?
Directions to Camp: Drop off and Pick up will be at the double door gym entrance located on the South side of the gym by the football field. The parking lot entrance is accessible via 12th Ave NE (one way only).
A copy of your responses will be emailed to the address you provided.
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