Basketball Camp Release Form
Please complete this form to participate in the basketball camp.
Participant Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Parent/Guardian Full Name
*
First Name
Last Name
Emergency Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Medical Conditions or Allergies
*
Signature of Parent/Guardian
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: