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FREE BASKETBALL CAMP

Free Basketball Clinic

HPC FREE BASKETBALL CLINIC

SATURDAY NOVEMBER 9TH  12 Noon -3pm

MLK COURTS (Alcoa) (If rain, registered campers will be notified of alternative site)

Boys & Girls 8-13 (or close 😊)

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This short but effective camp will be a valuable opportunity for lots of fun, exercise, teamwork, leadership skills, and so much more!

SEE YOU THERE! ~ Loren

Name*

Age*

BOY/GIRL*
 BOY GIRL

Address*

Parent/Guardians *

Emergency contact numbers *

Your Email*

*NOTICE: EACH CHILD MUST HAVE THEIR OWN FORM FILLED OUT AND ON FILE.
PARENT/GUARDIAN CONSENT: I authorize my child's participation in the HPC FREE BASKETBALL CLINIC. It is my understanding that participation in the activities that make up the HPC FREE BASKETBALL CLINIC involves some inherent risk of injury. As such, in consideration of my child's participation in the HPC FREE BASKETBALL CLINIC, I hereby release, waive, discharge HPC FREE BASKETBALL CLINIC, Loren Riddick, sponsors, and affiliates from any and all liabilities, claims, demands, actions, and causes whatsoever arising out of or related to any loss, damage, injury, or death, that may be sustained by my child, whether caused by the negligence of the releases, or otherwise while participating in such activity, or while on the premises where the activity is being conducted. Furthermore, I give the HPC FREE BASKETBALL CLINIC permission to transport my child to a medical facility if needed. I also give my permission for any emergency medical care or treatment by a physician, surgeon, hospital, or medical facility that may be required, and accept responsibility for that cost.

I hereby state that I am the legal guardian of said child*

By my e-Signature above, I certify that I have read, fully understand and accept all terms of the foregoing statement. Please signify your acceptance by entering the information requested in the fields above.