Camp Fee:Name of Volunteer:__________________________________________________________ Phone#_______________
Email address ___________________________________________________________________________________
Please check those that interest you:
Camp Parent: Provides updates, posted on Web and announcements, to Campers _______________
Registration Assistance: Help the league with Email, walk up and Phone Registrations_____________
Other: Assignments as needed ___________
1) Fill out form completely and legibly.
2) Parent/Guardian must sign Medical Release and Parent/Guardian player permission.
3) No refunds after May 31, 2008. Checks, Money order made payable to: BCWB, Mail Registration to : P. O. Box 3528, Frederick, Md. 21705-3528.
Medical Release and Parent/Guardian player permission :
I certify that my child is in good physical condition and is fit to participate in Basketball Coaches Without
Boundaries Youth Summer Basketball Camp; Additionally, I understand that my participation in Basketball Coaches Without Boundaries activities involves risks basketball Coaches Without Boundaries, its Directors, Officers, Employees, Coaches, Officials, Volunteers, Agents, Sponsors, Advertisers, Owners/Lessors of Premises for any and all liability from my participation in these and any other Basketball Coaches Without Boundaries related travel, lodging, social/recreational activities.
Date: ____________ Parent/Guardian Signature ________________________________