Sports Crusaders Basketball Camp
Camp Details:
Cost: $55 per child

Date: Monday, July 10 - Friday, July 14

Time: 1 - 4 PM

Ages: Completed 2nd - 6th grades

Location: First Baptist Church, 210 North A Street, Farmington, Mo.

Registration Information:
Name of Athlete:
Last, First, Middle Initial
Your answer
Address:
City, State, Zip
Your answer
Date of Birth
Your answer
Grade Completed in the 2016/2017 school year:
Your answer
Parent/Guardian Name:
Your answer
Parent/Guardian Phone Number:
Day, Evening, Cell
Your answer
Should the parent or guardian not be available, who else may we contact?
Name, Phone Numbers
Your answer
Athlete T-Shirt Size:
1. Does the athlete have any known special needs or illnesses which might interfere with his/her participation in strenuous activity? If so, please explain.
Your answer
2. Does the athlete have any severe allergies or reactions to drugs or medications? If yes, please explain
Your answer
3. Is the athlete presently taking any medications or on any special diet or exercise restrictions? If yes, please list specific details (name of medications, dosage, etc.).
Your answer
4. Indicate the date of last TTB (Tetanus, Dip/Tox, Booster shot).
Your answer
5. Are there any emotional/social disabilities that would be helpful for us to be aware of?
Your answer
6. Is the athlete living with:
Who will pick athlete up from camp?
Your answer
Notice: A parent or legal guardian must physcially accompany the athlete on the first day of camp to sign the following Consent and Image Release forms. If a parent is unable to come with the child on the first day, other arrangements should be made to sign the documents BEFORE the start of camp by calling First Baptist Church at (573)756-4654.
Consent Form
I, the undersigned parent/guardian, do hereby grant permission for my son/daughter, to attend the Sports Crusaders Camp. In order that my son/daughter may receive the proper medical treatment in the event that he/she may sustain injury or illness during the period of camp, I hereby authorize the camp staff to obtain or provide medical treatment for my son/daughter for such injury or illness during the camp, and I hereby hold the camp staff and sponsoring organization, as well as its representatives, harmless in the exercise of this authority.

I further understand that there is always a possibility that my son/daughter may sustain physical illness or injury while at the camp. If this occurs, I hereby authorize the camp staff and representatives to refer my son/daughter to a medical treatment center. I further acknowledge and understand that I will be responsible for any medical bills that may incurred on behalf of my son/daughter for physical illness or injury that he/she may sustain during the camp.

Understanding that there is always a possibility that my son/daughter may sustain physical illness or injury, I acknowledge and understand that my son/daughter is assuming the risk of such physical illness or injury by his/her participation, and I further release the sponsoring organizations and its representatives from any claims for personal illness or injury that my son/daughter may sustain during the camp. I further acknowledge and understand that my son/daughter will be expected to abide by and respect the rules of camp.

Image Release
A parent or guardian of each athlete will be asked on the first day of camp to release to Sports Crusaders the right to use photographs of their child for promotional materials. As a parent, you have a right to reject this release and it will not alter your child's registration or camp experience in any way.
Payment
To complete registration for camp, please follow the link below to pay $55 through Paypal. You do not need to have a paypal account to pay in this manner. Notice: We cannot hold a spot for your child until payment is made in full.

https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=SRAPXXPF6Z8KW

Join Us For VBS Too!
This year, First Baptist Church's "Galactic Starveyors" Vacation Bible School will be 8:30 AM-11:30 AM the mornings before Basketball Camp. You can drop your children off at VBS in the mornings and have them stay all day!

If you are planning on bringing your child to VBS, please register them at the following link:

https://kideventpro.lifeway.com/myChurch/?id=37733

Or you may register in person at First Baptist church. We are open 8 AM- 4:30 PM Monday - Friday at 210 North A Street in Farmington. Our office number is (573)756-4654

(Note: VBS is free, but please send lunch with your children. They will eat in between VBS and Camp.)

Will Your Child Be Attending VBS?
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