SUNO Back to School Basketball Camp Registration

Child's Name

Gender

Grade

Age

Address

City

Zip Code

Phone Number

Cell Phone Number

School

Parent/ Guardian's Name

Email Address

Emergency Contact

Phone Number

Family Doctor

Hospital in case of emergency

Shirt Size

Special Request

Interested in coaching?

Name

Phone Number

Address

City

State

Waiver

I, the parent/guardian of the registrant, a minor, do agree and will abide by all the rules of SUNO Back to School Basketball Camp. I recognize the possibility of physical injury associated with participating in SUNO sponsored activities, and in consideration for the SUNO Back to School Basketball Camp providing these activities, do release the SUNO and its staff members from all liability for any injuries sustained while on SUNO property and/or participating in SUNO Back to School Basketball Camp activities.

I agree

Date