Conwell Egan High School

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Conwell-Egan

BOYS BASKETBALL

Camp

Open to Boys entering Kindergarten through 8th Grade.

June 19th - 23rd, 2023

From 8am - 4pm

Early drop off available at 7am (NO EARLIER)

Late pick up available until 5pm (NO LATER)

Each camper will receive a shirt and ball

Campers have the option to bring their own lunch, or purchase lunch at the school. We will have the option of Pizza or Hot Dogs. We will also have a snack stand, where they can purchase water, Gatorade, candy, etc throughout the day.

We will work on the following

Footwork
Ball Handling
One on One Moves
Shooting
Defense
Passing

For more information please reach out to Head Coach, Tyrone Lewis at boysbasketball@conwell-egan.org or 267-987-0351

Qty

Description

Amount

Total

CEC Summer Basketball Camp

$125.00

June 19th - June 23rd - 8am - 4pm

Discount Code

---

Total: $125.00

Camper Information

Camper Name: *

Grade (Sept 2023): *

Current School: *

Shirt Size: *

Parent/Guardian Name: *

Parent/Guardian Phone: *

Parent/Guardian Email: *

Emergency Contact Name: *

Emergency Contact Cell: *

Relation To Camper: *

Physician: *

Allergies/Health Concerns:

Explain any physical restrictions:

Walking To and From Camp: *

WAIVER: *

I hereby assume all risks related to participation in the Conwell-Egan Catholic Basketball Summer Camp. I release myself, heirs and executors for injury or illness which may result from my child’s/children’s participation. I further state that my child is in proper physical condition to participate and compete in the camp and any activities surrounding the camp.

PHOTO RELEASE
I grant permission for my child to be photographed, filmed, videotaped or otherwise recorded and for my child’s likeness, image, appearance, and/or voice to be used in Camp materials, productions made by or on behalf of Conwell-Egan, or in advertising or trade in promoting and publicizing the Camp, Conwell-Egan, or its or their operation, affiliates, and business partners.

Photo/Video Release: *

LIABILITY RELEASE
I/We being the parents(s) or legal guardian(s) for, above named child(ren) hereby give Conwell-Egan Catholic High School (CEC) staff permission to administer basic first aid when applicable, including the treatment of minor cuts, scrapes, burns (including sunburns) and stings. Medication will not be administered by CEC staff at any time. I hereby give permission to medical personnel and Emergency Medical Services selected by the staff of CEC to provide transportation and treatments, including X-rays and routine tests, for my child. In the event that I cannot be reached in an emergency, I hereby give permission to the physician/hospital where my child is transported to secure and administer treatment, including hospitalization and surgery, for my child. The completed forms may be photocopied for trips out of camp. I agree to assume financial responsibility for all medical and hospital expenses.

On behalf of the child/minor, I hereby release, discharge and hold harmless, Conwell-Egan Catholic High School, and their employees from and against all losses, claims, actions, costs, expenses and or damages, including attorney fees, arising out of my/out child's participation in the Performing Arts Summer Camp, except for the willful misconduct or gross negligence of Conwell-Egan.

I/We have carefully read this release prior to its execution and I/We fully understand its contents.

Parent/Guardian Signature: *

Relationship to the child(ren): *

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *