WE R1 Camp Tour
Registration form
First Name *
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Last Name *
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Email Address *
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Cell Phone *
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Address *
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School Attending *
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Date of Birth *
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T-shirt size *
Session *
Waiver & ReleaseI, the undersigned, certify that my son/daughter is in good physical health and can participate in strenuous physical activity and all camp activities, and waive any and all claims I or he/she may now or hereafter have against WE R1 Basketball and their respective staff, affiliated entities, agents and employees in connection with any injury or illness, recurrence of any undisclosed pre-existing injury or illness prior, and all liabilities or causes of action arising out of or in connection with my child’s participation in the program. I grant permission for the coaches to act on my behalf in case of medical emergency. I understand that I am responsible for all medical expenses. Please type parent or guardian name to fully represent signature and terms of the waiver & release statement above. Parent/guardian signature: *
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