2019 Highlands Boys Basketball Camp
Event Timing: June 17 - 19, 2019
Event Address: Highlands High School Gym 2400 Memorial Pkwy, Ft. Thomas KY
Contact us at (859) 815 - 2639 or Kevin.Listerman@fortthomas.kyschools.us
Email address *
Player Last Name *
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Player First Name *
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Player Grade for 2019-20 *
Shirt Size *
Parent Name *
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Parent cell phone *
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Parent 2 / Emergency Contact *
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Phone # for 2nd contact *
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Time & Session *
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Waiver - My child has my permission to attend the Highlands Athletic Camp. I know of no physical impairment that will affect or be affected by the camp. I acknowledge that at the camp my child will participate in a sport that may involve, among other things, physical contact with other persons or objects and may incur the risk of injury. I specifically waive and release the Highlands Athletic Camp, its employees and staff from liability for any damage claims which my child may have from injuries she may sustain at the camp. *
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Any medical conditions/ medications the staff should be aware of. If none please type "none" *
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I understand that I will have to pay $60 upon arrival or mail check to: Highlands Boys Basketball 2400 Memorial Parkway Ft. Thomas, KY 41075 *
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A copy of your responses will be emailed to the address you provided.
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