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SHOOTING ZONE NV SCHOOL BREAK CAMP Registration Form
SCHOOL BREAK Basketball Camps
Boys & Girls Grades K - 8
Divided by age and ability
Player Information
First Name
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Last Name
*
Grade
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1
2
3
4
5
6
7
8
9
10
Price per camp day
$75
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Thursday October 3, 2024 _ Basketball Camp @ Shooting Zone NV
Monday October 14, 2024 _ Basketball Camp @ Shooting Zone NV
Thursday November 7, 2024 _ Basketball Camp @ Shooting Zone NV
Friday November 8, 2024 _ Basketball Camp @ Shooting Zone NV
Parent Contact
Relationship to Participant:
*
Mother
Father
Guardian
First Name
*
Last Name
*
Address
*
City
*
State
*
Zip
*
Cell Phone
*
Alternate Phone
Email Address
*
Email Address 2
Comments
WAIVER: I hereby authorize the staff of the SHOOTING ZONE LLC to act for me according to their best judgment in any emergency requiring medical attention for my child, if I cannot be contacted. In consideration of acceptance of my child, I hereby for myself, my child, theirs heirs, executors and administrators hold harmless, waive and release any claim we may have for damages against the above mentioned organizations, camp operators, their officials, officers, employers or representatives, or their successors and assigns for any and all injuries that may be suffered. I certify that I am parent/guardian of above participant and I am over the age of 18 years. I further agree that the above named parties are under the obligation to provide a physical examination or other evidence of a child's fitness to participate in this program, the same being my sole responsibility. I attest that my child is in sound condition to participate in all activities. I understand by signing this waiver any or all refunds will come in the form of credit.
ALL SALES ARE FINAL . Credit is good for up to 1 year of signing this waiver
SIGN BELOW:
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