Flier Basketball Camp Registration Form
Please fill in all the required information below.
Email address
Presented by NBA Player, Marcus Fizer
Camper First Name
Your answer
Camper Last Name
Your answer
T-Shirt Size
Parent First Name
Your answer
Parent Last Name
Your answer
Grade (entering grade for 2017-2018 school year)
Home Address - Street Number and Name
Your answer
Home Address - City
Your answer
Home Address - State
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Phone Number (XXX)XXX-XXXX
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Emergency Contact Person
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Emergency Contact Phone Number (XXX)XXX-XXX
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Any Medical Conditions
Required
If yes to the question above, please explain:
Your answer
PARENT/GUARDIAN PERMISSION CONSENT FORM - I hereby authorize the camp staff to act for me according to their judgment in any emergency requiring medical attention and I hereby waive and release both the Clyde-Green Springs School District and its employees and camp employees from any and all liability stemming from any injury, illness, or accident incurred while at the clinic. I have no knowledge of any physical impairment which would be affected by the above named camper’s participation in the camp program as outlined.
Required
Today's Date
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Method of Payment (Please make checks out to Flier Boosters, INC)
A copy of your responses will be emailed to the address you provided.
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