Aim High Basketball Camp Registration Form (NOTE: Camp is completely Free)
Sponsored by Family Youth Innitiative and Ames Church, 801 State St, Saginaw, MI. 48602, 989-754-6373
Camper Name ___________________________________________ Gender _________ Grade ______ next yr
Parents Name _______________________________________________________________________
Mailing Address ___________________________ City ______________ State ______ Zip _________
Home phone: (____) _________________ Parent’s work phone: (____) ___________________
Home Church (if applicable) ______________________________________ Date _______________
Must be signed: I grant permission to Ames UMC to secure surgical treatment and/or routine medical care for the person named on this form while at camp in case of an emergency. This person may participate in camp activities and photographs of same may be used for camp publicity. I hereby agree to release and hold harmless the Ames UMC employees and volunteers from any claims, costs, expenses (including attorney’s fees) and/or damages arising out of my child’s participation at Aim High Basketball Camp.
_______________________________________________________________________
(Signature of parent/legal guardian or camper if 18 or older)
Please bring with you: a personal water bottle filled with water, a good attitude, and a willingness to learn