Girls Basketball Camp Summer 2016 | The Summit Sports and Ice Complex

Player's Name *

Parent/Guardian's Name *

Mailing Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone *

Email *

Date of Birth *

Age *

2015-2016 School Grade *

4th5th6th7th8th

Position *

T-Shirt Size *

SmallMediumLargeX-LargeXX-Large

Waiver and Release *

I agree to release The Summit, Aim High Sports, Westmor Partners LLC. its employees and agents from all claims, damages and actions of the above named player or their parent/guardian. I assume full responsibility for any bodily injury that may occur as a result of the inherent risk of participating. I understand that any participant who causes damage or intentional injury will be suspended from the program without refund. I authorize Aim High Sports to use all photos or videos taken of me/my child during any/all programs for advertising or promotional material.I have read these terms and conditions and I agree to them.

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Girl's Summer Basketball Camp 2016 Registration Form

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