Saints Elite Basketball Camp Registration

Cost

Registration fee: $50

Email *

First Name *

Last Name *

Age *

Street Address *

City *

State *

Phone Number *

High School that student attends and Graduation Date *

High School GPA

ACT/SAT Score

Gender *

Date of Birth *

Social Security Number

Emergency Contact Name *

T-Shirt Size *

Adult - Small
Adult - Medium
Adult - Large
Adult - XL
Adult - XXL
Other

If other, please specify size:

Position *

Please list your Social Media Accounts, for example, Twitter Handle:

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PARTICIPATION AGREEMENT AND PRESS RELEASE: As a participant in this program, I understand that there are certain risks of physical injury and I agree to assume the full risk of any injuries, damages or loss which my child may sustain as a result of participating in any and all activities associated with SAINTS’ KIDS. I agree to waive and relinquish all claims I may have as a result of my child participating in this program against Shawnee Community College, its employees, board member and associates. I authorize Shawnee Community College to secure from any licensed hospital, physician and/or medical personnel any treatment deemed necessary for my child’s immediate care, and I agree to be responsible for payment of any and all medical services rendered.

I have read and fully understand the Program Details and Waiver and Release All Claims. I certify that all the information that I have provided on this application is complete and accurate to the best of my knowledge and I agree to observe all of the rules and regulations of the institution at which I am enrolled. *

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Photo Release - I understand that Shawnee Community College may photograph my child during SAINTS’ KIDS and that these photos may appear in newspapers, pamphlets and on the Shawnee Community College Website for promotional and informative purposes. *

I give consent for my child to be photographed for this purpose.
I do not give my consent for my child to be photographed.

APPLY VISIT GIVE

mySCC Account Foundation