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Return-----------------------------------
Please complete a
registration form for each camper and return by May 31, 2012.
Check one:
____8:15am-10:15am (1st -4th)
____10:30am-12:30pm (5thrd-8th)
Check one: T-shirt
Size: Youth S __, Youth M__, Youth L __,
Adult: S__, M__, L__ ,XL__
Athlete’s Name:
______________________Date of Birth_________
Phone:
________________________Age_____
Address:
_______________________________________________
Parents/Guardians
Name __________________________________
Contact #’s/work
#________________________________________
Grade Level for 2012
- 2013 school year:___________
Please list any
special needs or medical issues:
___________________________________________________________________________
I/We the parents/guardians of the above named player hereby give
my/our approval to participate in the Onekama Basketball Camp
activities. I/We know that participation in basketball may result in
serious injuries. We do hereby waive, release, absolve, indemnify
and agree to hold harmless the Onekama Girls basketball, the
organizers, sponsors, supervisors, participants, coaches from
activities for any claim arising out of any injury to my/our child
whether the result of negligence or for any other cause.
Signature:___________________________________Date______
Please send
registration forms and payment to Onekama Girls
Basketball, Nathan Bradford, 5016 Main Street Onekama,
MI, 49675
-Make Checks
Payable to Onekama Girls Basketball
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For Staff
______ Date Paid_____ Cash______ CK#______ Staff Initials
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