Seaquam Hot Hoops
Spring 2019 Basketball Registration
Location: Seaquam Secondary 11584 Lyon Road Delta
Dates: Sundays May 5, 12, 26 June 2, 9, 23
Times: Grade 4 and 5 - 10:00-11:15
Grade 6 and 7 - 11:30-12:45
Athlete's First Name *
Your answer
Athlete's Last Name *
Your answer
Birth Date *
Current Grade *
Current School *
Your answer
Gender *
Parent/Guardian Information
First Name *
Your answer
Last Name *
Your answer
Home Number *
Your answer
Cell Number
Your answer
E-mail *
Your answer
Emergency Information During Camp Times
Emergency Contact's Name *
Your answer
Relationship *
Phone Number *
Your answer
Does this athlete have an allergies, chronic illness or medical conditions? If yes, please describe.
Your answer
Informed Consent and Acknowledgement
I hereby give my approval for my child’s participation in any and all activities during the selected camp. In exchange for the acceptance of said child’s candidacy by Seaquam Hot Hoops, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Seaquam Hot Hoops and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.In case of injury to said child, I hereby waive all claims against the Seaquam Hot Hoops including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.I hereby give consent to have my child's photo used for any camp social media or advertising (if you cannot consent to this please still register just notify camp administration or your desire not to have you child photographed for this purpose) *
Total Fee $100 (Includes t-shirt and basketball)
Please bring payment to first session (Cash or cheques payable to Seaquam Secondary)
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