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Subscribe to our NewsletterPlayer 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