TEAM VELO X MBNO X CATCH12 BASKETBALL CAMP

TEAM VELO X MBNO X CATCH12 BASKETBALL CAMP

June 26th and June 27th | 440 Countryside Lane Rogersville, AL 35652
Athlete Information
Name

First NameLast Name
Grade (2026-27 School Year)
School
Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Camp Session
Session Selection
Emergency Information
Emergency Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical Conditions/Allergies
Medications (if applicable)
Liability Waiver
I understand basketball participation involves risk of injury and release Team Velo, MBNO, Catch12, and all staff from liability.
Signature
Name

First NameLast Name
Date

MonthDayYear
Date
Media Release
I authorize Team Velo, MBNO, and Catch12 to use photos/videos of my child for promotional purposes.
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Payment

Registration Fee: $100

Entry Fee

$100.00 Quantity

Total

Athlete Information