Student's Name *

First Name

Last Name

Student's D.O.B. *

MM

DD

YYYY

Guardian's Name *

First Name

Last Name

Guardian's Phone Number *

(###)

###

####

Please Select the Intensive(s) You Wish to Register For *

Session 1 (June 23 - June 27)

Session 2 (July 21 - July 25)

Single-Day or Drop-In

Informed Consent & Acknowledgement *

I hereby give my approval... * For my child’s participation in any and all activities prepared by Visions during the selected camp in exchange for the acceptance of said child’s candidacy by Visions. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Visions. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against Visions including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death. Must pay in full for camps. No refunds for missed weeks or camps.

I understand