Seymour Boys Basketball

Brian Butch Boys Summer Basketball Camp - July 12th (Grades 3-12)

Brian Butch Basketball and Seymour Basketball are excited to be offering a skills focused camp. We will be focusing on all the aspects you will need to improve your game, such as ball handling, shooting, and passing to name a few. Brian Butch is an Appleton West Alum and played for the Badgers in college.
Small group and individual instruction from experienced coaches and players.
Strong focus on fundamental skill work, and individual drills to help you improve.

Sessions
Grades 8-12: 12:00PM - 2:00PM Cost: $10
Grades 3-7: 2:15PM - 4:15PM
(Choose grade for 23-24 school year)

PLAYER INFORMATION

* First Name:

* Last Name:

* T Shirt Size:

* Grade (Choose grade entering 2023-24 school year):

PARENT/GUARDIAN #1

* First Name:

* Last Name:

* EMail:

* Phone Number:

PARENT/GUARDIAN #2

First Name:

Last Name:

Email:

Phone Number:

Wavier and Release Form

I certify that _______________________________ (Childs Name) has my permission to participate in the Brian Butch Basketball Camps. I hereby release Brian Butch Basketball Camps (Event) and Brian Butch Enterprise,
LLC (Company), and his employees from any liability, claims, lawsuits, etc. from any injury or illness that may result from participation in Brian Butch Basketball Camps (Event). I certify that my child is in good physical
health and can participate in all camp activities. I further certify that the above camper has medical insurance in case of an emergency. Brian Butch Basketball camps (Event) and Brian Butch Enterprise, LLC (Company), the
directors, and any staff shall not be held responsible for personal injury of any player or loss of individual property during the camp. I grant permission for the camp directors to act on my behalf in case of medical
emergency. I understand that I am responsible for all medical expenses.
I,_____________________________ (Players Name) release Brian Butch personally and Brian Butch Basketball Camps (Event) from any liability, claims, lawsuits, etc. from any injury or illness I may suffer during my
participation in any of the camps organized by Brian Butch or the Brian Butch Basketball Camps or Brian Butch Enterprise, LLC. I grant to Brian Butch Enterprise, LLC, the right to take photographs of me and my family in
connection with the above-identified event. I authorize Brian Butch Enterprise, LLC, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Brian Butch Enterprise, LLC
may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a
result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.
Brian Butch Enterprise, LLC has put in place preventative measures to reduce the spread of COVID-19; however, Brian Butch Enterprise, LLC cannot guarantee that you or your child(ren) will not become infected with
COVID-19. Further, attending Brian Butch Basketball Camps could increase your risk and your child(ren)?s risk of contracting COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Brian Butch Basketball
Camps and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Brian Butch Basketball
Camps may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Brian Butch Enterprise, LLC employees, volunteers, and program participants and their families.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim,
liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)?s attendance at Brian Butch Basketball Camps or participation in Brian Butch Enterprise, LLC programming
(?Claims?). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless. Brian Butch Enterprise, LLC , its employees, agents, and representatives, of and from the Claims,
including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of
Brian Butch Enterprise, LLC , its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Brian Butch Enterprise, LLC program.

I agree (by clicking this box it will act as your signature) *

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Brian Butch Boys Summer Basketball Camp - July 12th (Grades 3-12)