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Serving Grades K-6 in Kelso, Longview, Castle Rock, Toutle, Kalama
Kelso Hoops Youth Basketball League and Youth Tournaments Oregon Washington
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Girl's Hilander Hoop Camp June 16-18 Grades K-9
Schedule:
Location - Coweeman Gym 9:00am - 11:00am Entering Grades K-3
Location - Kelso HS Gym 12:30 pm - 2:30 pm Entering Grades 4-9
Cost: $50
Contact: Jon Webb 360-261-9400
Each camper will receive instruction in basketball fundamentals and teamwork. The camp with offer a fun and positive basketball experience and an opportunity play with girl's from all over the county.
Coaching Staff:
Varsity Girl's Staff along with current high school players will provide the instruction.
Insurance:
Each camper will be covered by a basic excess accident policy.
Registration Fee:
$50
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Camper First and Last Name:
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Grade next year ?:
Kinder
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
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School:
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Street Address:
City:
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Parent Name:
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Cell Phone:
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Home Phone:
Email Address:
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Emergency Contact Name:
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Phone:
Please note any medical conditions the camp staff should be aware of::
Parent Release for Medical Treatment: I approve of my child's participation in Hilander Hoop Camp. I certify that the child registered on this form is in good health and able to participate in the program activities. I authorize camp staff to attend to any health problems or injuries my child may incur while attending camp. I acknowledge that I am responsible for any and all medical expense due to my child's illness or injury.
Waiver of Liability, Release
For and in consideration of the undersigned participant's registration with Kelso Hoops ("Organization") and being allowed to participate in events and member activities, participant and the parent(s) or legal guardian(s) of participant waive, release and relinquish any and all claims for liability and cause(s) of action, including for personal injury, property damage or wrongful death occurring to participant or participant’s parent(s) or legal guardian(s) arising out of participation in events, or sports, and/or activities incidental thereto, whenever or however they occur and for such period said activities may continue, and by this agreement any such claims, rights, and causes of action that participant and/or participant's parent(s) or legal guardian(s) may have are hereby waived, released and relinquished, and participant and participant’s parent(s)/guardian(s) do so on behalf of their heirs, executors, administrators and assigns.
Participant and participant's parent(s)/guardian(s) acknowledge, understand and assume all risks relating to events or sports participation and activities incidental thereto, and understand that activities incidental thereto involve risks to participant's and participant's parent('s)/guardian('s) person including bodily injury, partial or total disability, paralysis and death, and damages which may arise there from and that we have full knowledge of said risks. These risks and dangers may be caused by the negligence of the participant, participant's parent(s)/guardian(s)or the negligence of others, including the organization, its affiliates, members, event hosts, other participants, other parents and legal guardians, coaches, officials, sponsors, advertisers, owners and operators of the premises used to conduct any event and each of them, their officers, directors, agents and employees (collectively, "releasees"), and include risks arising from the conditions and use of facilities and related premises. I/We further acknowledge that there may be risks and dangers not known to us or not reasonably foreseeable at this time.
Participant and participant's parent(s)/guardian(s) acknowledge, understand and assume the risks, if any, arising from the conditions and use of facilities and related premises, whether as a participant or a spectator, including without limitation, the risks involved with participating in the Organization’s activies. Participant and participant's parent(s)/guardian(s) further acknowledge and understand that included within the scope of this waiver and release is any cause of action (including any cause of action based on negligence) arising from the performance, or failure to perform, maintenance, inspection, supervision or control of said areas and for the failure to warn of dangerous conditions existing at said facilities, for negligent selection of certain releasees, or negligent supervision or instruction by releasees.
Participant and participant's parent(s)/guardian(s) acknowledge, understand The Organization reserves the right to photograph facilities, activities and program participants for potential future use. All photos remain the property of the Organization and may be used for publicity and promotional services.
Consent to Medical Treatment of Minor: I hereby give my consent to have the above applicant treated by a physician or surgeon in case of sudden illness or injury while participating in the above event. It is understood that the Organization provides no medical insurance for such treatment under its liability insurance coverage. Medical benefits for such treatments/injuries may be provided with proof of medical coverage purchased through the Organization. The location of the activity or the nature of the illness or injury may require the use of emergency medical personnel.
Participant and participant's parent(s)/guardian(s) agree if any claim for personal injury or wrongful death is commenced against releasees, he/she shall defend, indemnify and save harmless from any and all claims or causes of action by whomever or wherever made or presented for his/her personal injuries, property damage or wrongful death.
Participant and participant's parent(s)/guardian(s) acknowledge that they have been provided and have read the above paragraphs and have not relied upon any representations of releasees, that they are fully advised of the potential dangers and risks and understand these waivers and releases are necessary to allow the activities of the Organization to exist in its present form.
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Digital Signature of Parent/Gaurdian:
To complete your camp registration you can make a payment on-line with Paypal
or bring check/cash to main gate on day 1 of camp.
*If you select to mail a check in to the above address you will be directed to Paypal at checkout, just close that window out.
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Choose Payment Type:
Pay On-line with Credit Card after registration is submitted
On-site 1st Day of Camp cash, check, or Venmo @kelsohoops
* indicates required fields
SELECT FEE
$50 - Camp Registration