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2026 Summer Basketball Camp
PLAYER INFORMATION
*
First Name:
*
Last Name:
Street:
City:
State:
Zip Code:
Home Phone:
*
Birthdate:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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2000
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2020
*
Email:
Gender:
M
F
*
Grade:
K
1
2
3
4
5
6
7
8
9
10
11
12
PARENT/GUARDIAN #1
*
Firstname:
*
Lastname:
EMail:
Home Phone:
Work Phone:
*
Cell Phone:
PARENT/GUARDIAN #2
Firstname:
Lastname:
Email:
Home Phone:
Work Phone:
Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
Emergency Contact:
Phone:
Relationship to Player:
Insurance Carrier:
Policy #:
WAIVER INFORMATION. I am aware that participation in the NHBL 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 the NHBL Basketball Camp, I, the parent/guardian, assume the risk of all injury and agree not to sue the North Hamilton Basketball League, Hamilton County Dept of Education, its schools, Mile Straight Baptist Church, the camp directors, coaches, assistant coaches, or volunteers for any and all injuries caused by or resulting from participating in the NHBL Camp. By signing this waiver, I also authorize the use of pictures of the above-named participant to be posted on the NHBL web site or advertising media published by the North Hamilton Basketball League.
I/we agree with the above
*
* indicates required fields
SELECT FEE
$75 - 1 Camper
$135 - 2 Campers