Summer Basketball Camp

General Information
Cost: $175 per player

Camp: June 27-29 9:00am-1:00pm (6th-8th Grade)

Volunteers needed: Please email John Saenz (jsaenz@scsiena.org) if you are able and willing to be a parent volunteer during camp for one or more days. You must be VIRTUS trained and background checked.
Player Information
Please indicate the number of players you will register today. *
Player's Name *

First Name Last Name
Player's DOB *

Month Day Year
Date
2022/2023 Grade *

4th Grade 5th Grade 6th Grade 7th Grade 8th Grade
Player's School *
Player's Registered Parish *
Second Player's Information
Player's Name *

First Name Last Name
Player's DOB *

Month Day Year
Date
2022/2023 Grade *

3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade
Player's School *
Player's Registered Parish *
Third Player's Information
Player's Name *

First Name Last Name
Player's DOB *

Month Day Year
Date
2022/2023 Grade *

3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade
Player's School *
Player's Registered Parish *
Parent Information
Mother's Name *

First Name Last Name
Mother's Phone Number *

Area Code Phone Number
Father's Name *

First Name Last Name
Father's Phone Number *

Area Code Phone Number
Email for Basketball Communications *
example@example.com
Waiver

Please review both waivers and sign below
Do you give your permission for photographs of your child(ren) at practice or in games to be used in promotional materials for St. Catherine of Siena School and/or Parish? *

Yes No
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT/ACKNOWLEDGING, AND SIGN/ACKNOWLEDGE IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
Athletic Program and Communicable Diseases waivers read, agreed and attested to by: *

First Name Last Name