Parent Name (required) Parent Email (required) Camp (required) -- Please Select --2 Days - Summer Holiday Camp1 Day -Summer Holiday CampOther Camp Combination Parent Phone (required) Number of Children (required) 12345 Child 1 Full Name Child 1 Age Child 1 Club Child 1 Days Attending -- Please Select --WednesdayThursdayBoth Child 2 Full Name Child 2 Age Child 2 Club Child 2 Days Attending -- Please Select --WednesdayThursdayBoth Child 3 Full Name Child 3 Age Child 3 Club Child 3 Days Attending -- Please Select --WednesdayThursdayBoth Child 4 Full Name Child 4 Age Child 4 Club Child 4 Days Attending -- Please Select --WednesdayThursdayBoth Child 5 Full Name Child 5 Age Child 5 Club Child 5 Days Attending -- Please Select --WednesdayThursdayBoth Additional Information Please Read Camp Terms and Permissions: I am aware that participation in an Altona Basketball Camp has some inherent risks and injury can occur. On rare occasions, these injuries can be serious. In consideration of my child being allowed to participate in an Altona Basketball Camp, I, the parent/guardian, assume the risk of all injury and agree not to sue Altona Basketball, the camp directors, coaches, assistant coaches, agents, or volunteers for any and all injuries caused by or resulting from participating in the Altona Basketball Camp. By signing this waiver, I permit my child to receive medical attention; I also authorize the use of pictures of the above-named participant to be posted on the Altona Basketball web site or advertising media published by Altona Basketball. I agree to the above terms and permissions
