Author: Administratr

Westchase Basketball Camp 2010
Registration Form
If you have any questions, please call 631-4600 ext 431.
Please mail completed forms to:
Westchase Elementary School
Coach Mike Campbell
9517 West Linebaugh Ave.
Tampa, FL 33626
Sessions 1-3 run Mon.—Thurs. Session 4 runs Tues.-Fri.
Camps run from 8:30 a.m. -12:00 p.m. Sign up for:
____Session One: June 14-17 ____ Session Two: June 21-24
____Session Three: June 28-July 1 ____Session Four: July 6–9
Cash, Check or Money Order Accepted.
Make checks payable to
Westchase Basketball Camp
(No refunds for cancellations, injuries, or withdrawals if less than one week prior to camp.)
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Camper Name Birth Date
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Address
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City, State and Zip Code
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Email Address
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Home Phone Emergency Phone
T-shirt Size (Check One)
____ Youth Medium _____ Adult Medium
____ Youth Large _____ Adult Large
____ Adult Small _____ Adult Extra Large
Parent/Guardian Consent Form
The undersigned parent or guardian understands that the applicant will be engaging in physical activity during the program which contains a risk of physical injury. The undersigned assumes this risk, and releases Westchase Basketball Camp, their directors, and employees from any and all liability for personal injury arising out of applicant’s participation in the camp program. I hereby grant permission for my child to attend Westchase Basketball Camp. I further agree to pay through my insurance company or otherwise for any medical treatment that might be necessary for injury that may occur due to the participation in this camp.
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Parent/Guardian Signature Date