Bulldog Basketball
P.O. Box 425
Yellow Springs, OH 45387
bulldog
Youth Camp August 11, 12 & 13

PLEASE PRINT FORM BELOW!!
Registration
Name
Address
Grade (next school year)
T-Shirts Size(youth) sm med lg (Adult) sm med lg xl
Medical Wavier
I hereby and herein authorize the Directors of the Bulldog Basketball Camp, or any agents working on their behalf, to act in my stead for the purpose of acquiring emergency medical attention for my son or daughter or ward. I impose upon the assumptions of this duty the responsibility to act with reasonable care and caution and release and waive all liability for any injuries and illness incurred while at the camp. By my signature hereunder, I warrant that my son and/or daughter or ward is in good physical condition, has no undisclosed medical problems, illnesses, or disabilities and is capable of full and active participation in the basketball camp.
I also represent that my son and/or daughter or ward has received a physical within the last year and is medically competent to participate in the activities at camp.
Signature of Parent and/or Guardian Date
Camp will be held at the Bryan Center Outdoor Courts. In case of inclement weather, we will use another gym. Location TBA at Camp.
YS Resident - $40.00
Non-YS Resident – $65.00
Camp fee includes: Bulldog t-shirt, basketball, water bottle with logo, snacks, special prizes, guest speakers and lots and lots of teaching and fun.
SEND REGISTRATION FORM AND MONEY TO:
P.O. BOX 425
YELLOW SPRINGS, OHIO 45387
Contact us today!
We welcome your questions and queries. Please see our Contact Us page for complete contact information.
Copyright 2011 Bulldog Basketball. All rights reserved.
Bulldog Basketball
P.O. Box 425
Yellow Springs, OH 45387
bulldog
