1st Annual Basketball Camp ("In Honor of Andre Emmett")
Please complete this form in its entirety. Be sure to complete your $20 registration fee on https://www.oliverfamilycharities.com/donate
Registration closes August 26, 2021 @10pm CST
Each participant should have their own form completed but payment can be made all together.
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Email *
Childs Name *
Current age of participant *
Gender *
Shirt Size *
Parent/Guardian Name *
Parent/Guardian phone number *
Parent/Guardian email address *
WAIVER: I hereby authorize the staff of the Oliver Family Charities to act for me according to their best judgment in any emergency requiring medical attention, and I hereby waive and release the Moorland Branch YMCA and The Oliver Family Charities, and sponsors from any and all liability for any injuries or illness incurred while at camp. I have no knowledge of any physical impairment that would affect the camper's participation, named above in the camp program as outlined in the brochure. I also understand the camp retains the right to use photographs from the camp for publicity, advertising, social media, blogs and TV purposes. *
Please provide the email address used to complete registration payment at https://www.oliverfamilycharities.com/donate *
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