Logan Boys Basketball Summer Team Camp & Tournaments Registration Form May 19-21, 2015 Player’s Name __________________________________________________ Date of Birth ______________________ Adult Shirt Size: (mark one please) Age _____________ XL L M Date___________________ 2015-16 Grade _____________________ S Teams Involved Activity Team Camp/Summer Conditioning Weber League Preston Varsity Tournament Preston JV & Freshman Tournament Boise Varsity Tournament USU Tournament Mountain Crest Tournament Dates May 19-21/June 1July 2 (Mon-Thurs) Wednesdays, April 8-May 13 May 29-30 June 26-27 June 10-13 June 18-20 (based on grade for 2015-16 school year) Cost ALL $70 ALL $60 for all (or $10/game) $45 $45 $125* $80 TOTAL Varsity JV & Freshman Varsity Varsity, JV & Freshman June 12-13 JV & Freshman $45 TOTAL COST FOR ALL CAMPS & TOURNAMENTS *includes housing, transportation and 6 meals Make checks payable to Logan Boys Basketball. Parent or Guardian __________________________________________________________________________ Mailing Address ___________________________________ City __________________ Zip _____________ Home Phone_________________________________ Cell Phone__________________________________ Email address______________________________________________________________________________ Emergency Contact __________________________________ Relationship __________________________ Emergency Contact Phone ____________________________________________________________________ Other Information (medical problems, special considerations, etc.) ________________________________________________ In consideration for my child’s registration as a participant in the above entitled event(s), and with the understanding that my child’s participation in this event is only on condition that I enter into this agreement, for myself, and my child, I hereby assume the inherent risks involved in the Logan Boys Basketball Summer Camp and Tournaments and any risks inherent in any other activities connected with this program. I expressly assume the risk of and accept full results of my child’s participation in this event and release from liability, Logan City School District, Logan Recreation Center and the Logan Boys Basketball Program. I hereby waive any claim I may have hereafter of any result of my child’s participation. I have read and understand the above statement. Parents/ Guardian Signature: _________________________________________________________________ Print Name: _______________________________________________________________________________