• 3rd Annual C.L.I.P. Hoops Veterans Day Shooting & Skills Clinic

    Camper Registration Form

  • C.L.I.P. HOOPS is excited to host our third annual Veterans Day Shooting & Skills Cinic at Roberts Wesleyan University! This year's clinic is again open to boys and girls from any school district and will offer two sessions based on your child's current grade. The clinic will take place at the Voller Athletic Center and additional details can be found below. We hope to see you in November!

     

    Shooting & Skills Clinic Details

    Date:  Wednesday, November 11th (Veterans Day)

     

    Session I

    ***for athletes currently in grades 5-8***

    9:00am - 11:00am (Check-in begins at 8:30am)

     

    Session II

    ***for athletes entering grades 9-12***

    12:00pm - 2:00pm (Check-in begins at 11:30am)

     

    Each camper should bring their own basketball, if possible. We will have plenty of extras available for those that need one.

     

    Cost & Payment Options

    Clinic Registration Fee:  $50 (due upon registration)

     

    Payment Options:  Camp fees can be paid using any of the following options...

    Venmo:  @Rob-Stedman-1

    CashApp:  $RobStedman34

     

    Coach Stedman Contact Info (if needed)

    Cell:  (585) 261-6141

    Email:  coachsted34@yahoo.com

     

     

  • Athlete Information

  • Gender
  • Session my child will be attending:*

  • Parent/Guardian Information

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  • Emergency Information

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  • Parental Consent & Liability Release

    I hereby give my approval for my child’s participation in any and all activities prepared by C.L.I.P. Hoops during the selected camp. I hereby waive and discharge any and all claims for damages for personal injury or property damages of which may hereafter occur to my child as a result of their participation in said basketball camp. This release is intended to discharge in advance, C.L.I.P. Hoops and Roberts Wesleyan University. This includes all coaches and affiliates, all participants, sponsoring agencies, university staff, and volunteers. By accepting the terms of my child's participation in the C.L.I.P. Hoops Skills Clinic, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless C.L.I.P. Hoops and Roberts Wesleyan University, and all its respective staff, volunteers, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from camp.

    In case of injury to said child, I hereby waive all claims against C.L.I.P. Hoops and Roberts Wesleyan University including all coaches and affiliates, all participants, sponsoring agencies, university staff, volunteers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

  • Medical Release and Authorization

    As Parent and/or Guardian of the named athlete, I hereby authorize to have the above applicant treated by emergency medical personnel, a physician, or surgeon, in case of sudden illness or injury while participating in the above camp and all associated activities while attending said camp. It is understood that C.L.I.P. Hoops and Roberts Wesleyan University will provide no medical insurance for such treatment, and that the cost thereof will by my expense.

  • Confirmation

    BY ACKNOWLEDGING AND INITIALING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE, AND ACKNOWLEDGES THAT YOU HAVE READ AND FULLY UNDERSTAND THE FOREGOING REGISTRATION LIABILITY RELEASE AND PARENTAL CONSENT FORM, AND AGREE TO ALL TERMS AND CONDITIONS.

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