TEAM G.O.A.T SCHOOL BREAK HOLIDAY CAMP Registration Form

SCHOOL BREAK Basketball Camps

NOW @ Marian Athletic Center

668 Ridgewood Rd, Washington Township

Our Lady of Good Counsel Roman Catholic Church

Boys & Girls Grades 1st - 8th

Thursday December 26

Friday December 27

Monday December 30

Tuesday December 31

Player Information

First Name *

Last Name *

Grade *

Price per camp day
$75

3.5 percent Credit Card transaction fee

*

Thursday December 26, 2024 _ Team Goat Basketball Camp

Friday December 27, 2024 _ Team Goat Basketball Camp

Monday December 30, 2024 _ Team Goat Basketball Camp

Tuesday December 31, 2024 _ Team Goat Basketball Camp

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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