2023 Summer Basketball Camp

General Information
Cost: $175 per player

Camp: June 20-23 9:00am-1:00pm (3rd-5th Grade) 1:30pm-5:30pm (6th-8th Grade)

Volunteers needed: Please email Jeremy Johnston (jeremyj@stcatherinercc.org) if you are able and willing to be a parent volunteer during camp for one or more days. You must be VIRTUS trained and background checked.
Player Information
Please indicate the number of players you will register today.*
Player's Name*

First NameLast Name
Player's DOB*

MonthDayYear
Date
2023/2024 Grade*

3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade
Player's School*
Player's Registered Parish*
Second Player's Information
Player's Name*

First NameLast Name
Player's DOB*

MonthDayYear
Date
2023/2024 Grade*

3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade
Player's School*
Player's Registered Parish*
Third Player's Information
Player's Name*

First NameLast Name
Player's DOB*

MonthDayYear
Date
2023/2024 Grade*

3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade
Player's School*
Player's Registered Parish*
Parent Information
Mother's Name*

First NameLast Name
Mother's Phone Number*

Area CodePhone Number
Father's Name*

First NameLast Name
Father's Phone Number*

Area CodePhone Number
Email for Basketball Communications*
example@example.com
Waiver

Please review both waivers and sign below
Do you give your permission for photographs of your child(ren) at practice or in games to be used in promotional materials for St. Catherine of Siena School and/or Parish?*

YesNo
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT/ACKNOWLEDGING, AND SIGN/ACKNOWLEDGE IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Athletic Program and Communicable Diseases waivers read, agreed and attested to by:*

First NameLast Name