2018 CAMP BOWERS Individual Registration & Waiver Form
CAMP BOWERS - COLUMBIA, MO - (JULY 9th-11th) (Co-Ed Ages 8-12 from 9:00am-12:00pm) & (Co-Ed Ages 13-18 from 2:00pm - 5:00pm)

CAMP BOWERS ADVANCED SKILL LEVEL CAMP - COLUMBIA, MO (JULY 12th-13th) (Co-Ed Ages 12-18 only) (9:00am - 12:00pm)

CAMPER'S NAME *
Please Enter Camper's First and Last Name
Your answer
CAMPER GENDER *
Please Choose One
CAMPER'S AGE *
Please Enter Camper's Age
Your answer
CAMPER'S DATE OF BIRTH *
Please Enter Camper's Date of Birth
MM
/
DD
/
YYYY
SCHOOL ATTENDING IN THE FALL OF 2018 *
Please enter the school you will be attending in the fall
Your answer
WHICH CAMP WILL YOU BE ATTENDING? *
Please Choose Which Camp You Plan on Attending
SHIRT SIZE *
Choose the Shirt Size for the Camper
WHAT GRADE WILL THE CAMPER BE IN THIS FALL (2018) *
Please Enter the Grade The Camper Will Be In This Fall
Your answer
WHAT IS THE CAMPER'S SKILL LEVEL? *
Enter The Camper's Skill Level. If In Between 2 Selections, Please Click Both That Apply
Required
HOME ADDRESS *
Enter Your Home Address Including Street Name
Your answer
CITY, STATE & ZIP CODE *
Please Enter Above Information
Your answer
HOW DID YOU HEAR ABOUT CAMP BOWERS? *
Your answer
PARENT/GUARDIAN EMAIL ADDRESS *
Please Enter Your Email Address
Your answer
PARENT/GUARDIAN(S) NAME(S) *
Please Enter Parent or Guardian Name
Your answer
PARENT/GUARDIAN PHONE NUMBER *
Please Enter Phone Number
Your answer
EMERGENCY CONTACT NAME *
Enter an Emergency Contact Name Other Than The Parent's/Guardian's Name (if possible)
Your answer
EMERGENCY CONTACT TELEPHONE NUMBER *
Enter an Emergency Contact Number
Your answer
EMERGENCY CONTACT RELATIONSHIP *
Enter The Emergency Contact Relationship
Your answer
ARE YOU REGISTERING WITH A GROUP?
GROUP NAME (if applicable)
Please Enter The Full Name of the Person Who is in Charge of the Group or Enter the Basketball Team
Your answer
HOW MANY IN GROUP
PLEASE ENTER GROUP SIZE (If applicable, min group size discount is 6)
Drop-off & Pick-up: It is imperative for the camper to be in the gym READY TO GO 15 minutes prior to start time. This will allow them time to get up some shots before camp drills begin. The camper shall be picked up “on-time” at the conclusion of each day. *
Please Enter Your Initials To Acknowledge the Drop Off & Pick Up Policy
Your answer
Parental Waiver & Release Statement-In the very rare case of a medical emergency, I understand that my child could be transported to the nearest available medical facility by the local emergency unit for treatment if the local emergency resource (police, rescue squad) deems it necessary. The child will be transported at the expense of your primary medical coverage. It is also understood that in some medical situations, the staff will need to contact the local emergency resource before notifying the parent, child’s physician, and/or other adult acting on the parent’s behalf. *
Choose Yes to Acknowledge and Accept the Following Statement: I, the undersigned, have read this release and understand its terms. I execute it voluntarily and with full knowledge of its significance.
Parent Statement (Enter Camper Full Name Below) *
I hereby state that my child, (ENTER CAMPER FULL NAME BELOW) is in good mental and physical health condition to participate in the activities provided by Camp Bowers (including but not limited to all aspects of basketball). I am fully aware that any form of athletic activity creates the possibility of serious injury. In addition, I also agree not to hold LBO Sports/Camp Bowers and/or Rock Bridge High School responsible in the event that my child engages in inappropriate conduct (including, but not limited to disruptive or volatile behavior) and that LBO Sports/Camp Bowers has the right to dismiss him/her from the camp. I further attest that the Information contained in this form is correct to the best of my knowledge. In conclusion, I have agreed to all of the conditions within this form, and I agree to comply.
Your answer
Camper's Medical Problems *
Please Enter Any Medical Problems
Your answer
Camper's Allergies *
Please List Any Known Allergies of the Camper
Your answer
Current Medications *
Please List the Camper's Daily Medications
Your answer
Family Doctor Information *
Please Enter the Name of the Camper's Physician and Their Telephone Number
Your answer
Photography *
I also grant permission to the staff of Camp Bowers, to photograph and/or videotape my child for educational, motivational, or promotional purposes for Camp Bowers’ usage. Please choose yes to Accept, if you do not accept choose no
Online Signature of Parent/Guardian of Above Mentioned Camper(s) *
Please Enter Your Full Name Below to Acknowledge and Accept the Following Statement: I, the undersigned, have read this release and understand its terms. I execute it voluntarily and with full knowledge of its significance.
Your answer
Camp Admission Fee is $150.00 for the CAMP BOWERS - COLUMBIA, MO. Camp Admission Fee is $110.00 per camper for the ADVANCED SKILL LEVEL CAMP. PLEASE NOTE: Discount Codes are only valid for ONLINE REGISTRATIONS!!! .....If Paying By Check, Please Mail The Check to the Address Below:
LBO Sports Attn: Laurence Bowers, 3907 Foxcreek Way, Columbia, MO 65203
Payments: Accepted Payments Forms Are: Cash (Walk-In), Mailing a Check, or PayPal (via PayPal Link from Website) *
Please Enter Your Payment Method
AFTER SUBMITTING THIS REGISTRATION FORM, BE SURE TO PAY THE CAMP ADMISSION FEE BY CHECKING OUT ON OUR WEBSITE , unless you are mailing a check. REGISTRATION IS NOT COMPLETE UNTIL REGISTRATION FORM AND CAMP ADMISSION(S) ARE SUBMITTED. WE CANT WAIT TO SEE YOU AT CAMP BOWERS!
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