Rome High Youth Basketball Camp 2018
Email address *
CAMP DATES: June 11 - 14
COST: Before May 28th - $50 /After May 28th or upon Registration Day - $60
LOCATION: Rome High School Gym 9:00 am - 2:00 pm
Athlete's First Name *
Your answer
Athlete's Last Name *
Your answer
Date of Birth *
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Age *
Grade Entering 2018 *
What school do you attend? *
Your answer
Parent / Guardian Name *
Your answer
Parent / Guardian Phone Number *
Your answer
Parent email *
Your answer
Shirt Size *
Emergency Contact Name *
Your answer
Emergency Contact Relationship to Athlete *
Your answer
Emergency Contact Phone *
Your answer
Release of Liability / Parental Consent:
I give consent for my child to attend the RHS Basketball Camp. I hereby release and hold harmless this Rome Athletics Program/Rome City Schools for injuries including those resulting in death and illness occurred while attending camp or as a result of attending camp.. I certify that my daughter is physically fit to participate in basketball camp. The coaches and staff will not be held liable for any accident, injury, or any illness that may occur while participating in camp activity.
Parent Name: *
YOU MUST SIGN BEFORE YOUR CHILD CAN PARTICIPATE IN THE CAMP.
Your answer
Date Release of Liability was singed. *
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Click Below for Payment Options
Method of Payment *
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