2019 Basketball Camp

Gadsden City High School

Parental Consent Form

Parent must complete and sign this form of registration for the camper to be allowed to participate in camp activities.

By submitting this form I hereby give my permission for a qualified physician, athletic trainer and/or hospital emergency room to administer necessary healthcare in the case of an accident and/or emergency. In addition, I acknowledge that I have read and understand all information.

I hereby hold Gadsden City High School harmless for any/all injuries or damages for the above child’s participation in the camp activities. I do, release, waive and forever discharge GCHS and all of its officers, agents and employees, acting officially or other wise, from all liability. I also agree that this camp is a voluntary act with full knowledge of the contents of the agreement.

2019 Titan Basketball Camp

Camper Name*
First Last
Age*
Date of Birth*
Gender*
Grade*
Upcoming School*
Emergency Phone (Day)*
Emergency Phone (cell)*
Payment Option*
- Cash
- Check (Made out to GCHS Basketball)
- Debit or Credit Card (There is a 3% service fee for debit & credit)
If you selected Debit/Credit as a form of payment, please either come into our office to complete payment, or email payment information to Kelly at:

krobertson@gadsdencityschools.org

If you selected Cash or Check, you may deliver or Mail to:
Gadsden City Boys Basketball 1917 Black Creek Pkwy, Gadsden, Al. 35904.
Emergency Contacts*
Please list the names and telephone numbers of two individuals to contact in the event of emergencies (include home, work, and cell numbers)

Gadsden City Titans

2019 Basketball Camp

2019 Titan Basketball Camp

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