2023 Bishop Canevin Girls Basketball Camp Registration Form

Bishop Canevin Girls Basketball Camp

DATES: Monday, June 19th through Thursday, June 22nd from 9:00am until 12:00pm. Fill out the form carefully for registration.
Student Name *

First NameMiddle NameLast Name
Birth Date *

MonthDayYear
Current School *
Grade Level in 2023-24 School Year *
Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Name *

First NameLast Name
Parent/Guardian Name

First NameLast Name
E-mail *
example@example.com
Email
example@example.com
Phone Number *
Format: (000) 000-0000.
Phone Number
Format: (000) 000-0000.
Emergency Contact

In the event of an emergency, and the parents cannot be reached, please contact:
Emergency Contact *

First NameLast Name
Phone Number *
Please enter a valid phone number.Format: (000) 000-0000.
Email *
example@example.com
Health Information

Please list all health restrictions.
No Health RestrictionsSpecial Health Restrictions
Current Medications
Additional Comments
T-Shirts

Please choose the t-shirt size for the camper.
Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-Large
Liability Release

I hereby grant permission for my child to make use of the facilities and/or equipment owned or operated by Bishop Canevin High School for the express purpose of participating in its 2023 Summer Camp. The undersigned hereby waives and releases all claims, present or future, for damage, injury, or loss to the participant or to the participant's or parent's property which may be caused by any act or failure to act by Bishop Canevin High School, its administrators, teachers, coaches, students, parents, or others acting on behalf of Bishop Canevin High School and agrees not to sue for relief arising from such claims. The undersigned assumes full responsibility for the risk of injury to the participant or to property involved in the activity, including transportation to and from the site of the activity, and waives any and all specific notice of the existence of risks involved in the activity.
Parent Signature *

Clear
Date *

MonthDayYear
Date
Payment

Cost is $100. Please mail check to Bishop Canevin High School (Bishop Canevin Girls Basketball 2700 Morange Rd, Pittsburgh, PA 15205) or bring check with you on the first day of camp.

Camp Registration*

Pay with Check.

$ Free

Total

$0.00

Credit Card

Should be Empty:

Bishop Canevin Girls Basketball Camp

Emergency Contact

Health Information

T-Shirts

Liability Release

Payment

Credit Card