Basketball Camp Registration
Basketball Camp
First Name *
Last Name *
Address *
City *
State *
Zipcode *
Phone Number *
Email *
Date Of Birth *
MM
/
DD
/
YYYY
Parents/Guardian First Name: *
Parents/Guardian Last Name: *
Emergency Contact Name: *
Emergency Contact Number *
Athlete Shirt Size
Clear selection
Waiver of Liability
This agreement releases Terron Armstead Foundation along with Village of Cahokia Fitness Center and Cahokia High School Cahokia Illinois 62206 from all liability relating to injuries that may occur during all camp activities. By signing this agreement, I agree to hold Terron Armstead Foundation and the locations where camps are being held entirely free from any liability, including financial responsibility for injuries incurred, regardless of whether injuries are caused by negligence.I also acknowledge the risks involved in sports activities. I swear that I am participating voluntarily, and that all risks have been made clear to me. Additionally, I do not have any conditions that will increase my likelihood of experiencing injuries while engaging in this activity.By signing below I forfeit all right to bring a suit against Terron Armstead Foundation along with Village of Cahokia Fitness Center and Cahokia High School Cahokia Illinois 62206 for any reason. I will also make every effort to obey safety precautions as listed in writing and as explained to me verbally. I will ask for clarification when needed.
I fully understand and agree to the above terms
By typing your name below you have read the waiver of liability and agree.
Full Name *
Photo Release Form for Minors (if under 18)
The Terron Armstead Foundation has my permission to use my or my child’s photograph
publically to promote the camp. I understand that the images may be used in print
publications, online publications, presentations, websites, and social media. I also understand
that no royalty, fee or other compensation shall become payable to me by reason of such use.
Parent/Guardian’s Agree to Photo Release Form *
Required
Parent/Guardian’s Name *
Child’s Name *
Phone Number *
Photo Release Form for Adults
The Terron Armstead Foundation has my permission to use my photograph publically to
promote the library. I understand that the images may be used in print publications, online
publications, presentations, websites, and social media. I also understand that no royalty, fee or
other compensation shall become payable to me by reason of such use.
Parent/Guardian’s Agree to Photo Release Form for Adults *
Required
Full Name *
Date *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.