2025 Youth Basketball Camp

O'Dea Youth Basketball Camp
Rising 5th, 6th, 7th and 8th graders are welcome to join us for a fun week of basketball games, skills, drills and fun competitions.

Session 1: June 16, 17, 18

Cost: $150

Session 2: June 23, 24, 25, 26

Cost: $200
Participant's Name*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email *
example@example.com
Parent/Guardian Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade in Fall 2025*
Current School
T-Shirt Size
Medical Release
I verify that [participant]
Participant
Is medically insured with
Provider
Policy number
Policy Number
Has dental insurance with
Provider
The above insurance effectively covers any medical or dental cost incurred as a result of participation in the O’Dea Basketball Camp. Further, I authorize the Coaching staff to seek any necessary emergency medical or dental treatment my child may need during the course of camp.*

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Current Medications
Current Allergies
Acknowledgement of Risk
As the Parent/Guardian of [participant]*
I acknowledge the potential risk of injury related to participating in football and the physical activities associated with participation in the O’Dea Basketball Camp. I knowingly and voluntarily on behalf of the camp participant accept the risk of all such injuries that could occur due to participation in the camp.*

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Media Release Authorization for Minors

O’Dea High School is seeking media release authorization for photos taken during the duration of the camp. These images may be used in school publications, social media, and promotional materials to highlight student participation and activities.

Thank you for your support in capturing and celebrating this experience!
As the Parent/Guardian of [participant]*
I _________ to O’Dea High School photographing and/or recording my child during the duration of the camp. I understand that these images may be used in school publications, social media, and promotional materials. I waive any rights to inspect or approve the final product and release O’Dea High School from any claims related to their use.*

ConsentDo NOT Consent
Signature*

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My Products

Youth Basketball Camp Session 1$150.00

June 16-18

Youth Basketball Camp Session 2$200.00

June 23-26

Total $0.00

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O'Dea Youth Basketball Camp

Medical Release