Player Waiver/Consent Form  for Hunterdon Horizon Basketball Fall 2018 Camp

As the parent or legal guardian of the child named below. I hereby give my

full consent and approval for my child to participate as a team member in

the Hunterdon Horizon Fall 2018 Basketball Camp

.

I understand that there are certain risks of injury inherent in  the

play of basketball, as well as in traveling and other related

activities incidental to my child's participation, and I am willing to

assume these risks on behalf of my child.

I hereby certify that my child  is fully capable of participating in the Hunterdon Horizon Fall 2018 Program and that my child

is healthy and has no physical or mental disabilities or infirmities that

would restrict full participation in these activities, except  as listed below.

I

In addition,  to my full consent for my child's participation. I do

waive. release and hold harmless the organization named below,

officers, coaches, sponsors, and representatives for any

injury  that may be suffered  by my child in the normal course of

participation in the designated sport and the activities incidental thereto,

whether the result of negligence  or  any other cause

Child Name _________________________________  DOB _________

Grade ______    School _______________________________________

Address _________________________________ Town _______________

State __________ Zip ________

Cell Contact Number  ____________________________

Emergency Contact Number  ___________________________

Email _______________________________________________

List any physical limitations (Allergies, Hearing, Sight, etc….) __________________________________________________________________

________________________________________________________

              ____________________________________________     ______________

               Parents Signature                                                                               Date

Mail $90.00 Check  to:  Hunterdon Horizon Girls Basketball 

Ron Armellino

104 East Militia Road

Whitehouse Station, NJ 08889