2007 FULLCOURT PRESS ALL-WEST CAMP
PLAYER REGISTRATION FORM
Please fill out and send form and payment to:

Fullcourt Press All-West Camp, P.O. Box 77906, Corona CA  92877
 
$375.00 day camp fee/$475.00 overnight camp fee.  A $175.00 non-refundable deposit must accompany your application and the balance must be paid on or before June 15, 2007.  Please make checks payable to: “All-West Camp.”

Name:_________________________________________________________

High School_________________________________________________________

Home Address _________________________________________________ 

City ____________________________ State _____ Zip Code ____________

Phone (       ) ________________________ E-Mail_____________________

Grade 2007-08__________ Height_______________  Weight_____________

GPA ________ SAT/ACT Score _________ HS Coach __________________

Parent/Guardian _______________________________________________

HEALTH AND BEHAVIOR GUIDELINES AND WAIVER OF LIABILITY
 
Health Insurance Company_________________________________________

Policy Number _________________________ Group Number ___________

I understand that any Fullcourt Press All-West Camp (FPAWC) participant who does not abide by the rules, regulations and policies established by the FPAWC is subject to dismissal without reimbursement or recourse and I hereby waive and release the FPAWC and the Lynwood High School (LHS) from any and all liability for any injury or illness while participating in the camp.  I hereby authorize the directors of FCPAWC and LHS to act according to their best judgment in any emergency if I cannot be contacted.  I understand that each camp participant is required to have their own medical and accident insurance.  I also understand that the FPAWC retains the rights to use for publicity and advertisement purposes, photographs of camp participants.  
 

_________________________________________________

Signature of Parent or Guardian