I, the undersigned, individually and as a parent/guardian of a minor, ask that he be admitted to participate in Coach Mirabel Hoops Academy Camp. In consideration of such admission, I do herby agree to release, discharge and hold harmless Coach Mirabel Hoops Academy, and its employees, from all causes, liabilities, damages, claims, or demands whatsoever on account of any injury or accident involving the said minor arising out of the minor's attendance at the camp or in the course of competition and/or activities held in connection with the camp. In the event that illness or injury would require more extensive evaluation, I understand that every reasonable attempt will be made to contact me. However, in the event of an emergency, and if I cannot be reached, I give my consent for physicians and staff at the Jersey City Medical Center to perform any necessary emergency treatment. I also certify that all information provided to Saint Peter's Prep concerning said minor and his medical information is true. 

COACH MIRABEL CLINIC IS NON REFUNDABLE. IN THE EVENT THAT YOUR CHILD MISSES CAMP DUE TO AN ILLNESS OR INJURY A ONE YEAR CREDIT WILL BE GIVING TOWARDS ANY FUTURE BASKETBALL CLINIC, SEMI PRIVATE LESSON OR SUMMER CAMPS.