Parent Phone Number*
1 Week $125
2 Weeks $200
I hereby request that my child be admitted to attend Bishop Loughlin Basketball Camp at Bishop Loughlin High School and authorize the directors or any member of the staff to act for me according to their best judgement in any emergency requiring medical attention. I understand that any child who does not abide by the rules and regulations of the camp is subject to dismissal without reimbursement or recourse. My child is in good health and may participate in all activities. Bishop Loughlin Basketball camp will not be held responsible for injury or illness if same was not caused through fault of Bishop Loughlin Basketball Camp. I, the undersigned parent or guardian do hereby authorize Bishop Loughlin Basketball Camp or any law enforcement agency to use their judgement in obtaining medical treatment for my child. I give permission to the medical, dental, or emergency room staff selected to render any emergency treatment shall be my sole responsibility. It is also understood that effort shall be made to contact the undersigned prior to rendering treatment to the child, but that none of the above treatment will be withheld if the undersigned cannot be reached. BE AWARE THAT PICTURES OR VIDEO FOOTAGE MAY BE TAKEN DURING THE CAMP FOR PROMOTIONAL, COMMERCIAL OR EDUCATIONAL USE.
Parent Signature Here
Please send a confirmation email to the address below*: