TicketsPriceFeeQuantity

Basketball Camp - with Mark Litchford

JULY 23rd - 27th from 5:30pm - 8:00PM each day.

$100.00$0.00
Total: $0.00

$0.00

Emergency Contacts


Medical Information and Consent

Please include information for each camper you are registering.

Informed Consent and Acknowledgement
I hereby give my approval for my child’s participation in any and all activities prepared by Boyd Buchanan Summer Programs during the selected camp. In exchange for the acceptance of said child’s candidacy by Boyd Buchanan Summer Programs, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Boyd Buchanan School and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of participating in selected camp sessions.

In case of injury to said child, I hereby waive all claims against Boyd Buchanan School including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Medical Release and Authorization
As Parent and/or Guardian of the named camper, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.
This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the Boyd Buchanan School and its affiliates including Directors, Coaches, to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered camp session.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Photo Release
I give permission for my child to be photographed or videotaped while in camp or during camp-related activities. I give my permission for my child's photograph to be used on social media platforms and in advertising.

Swimming Waiver
I acknowledge that I have voluntarily agreed to allow my child to participate in the Cumberland Youth Foundation Swimming Program under the direct supervision of an American Red Cross certifiedLifeguard.

I recognize the hazards inherent in my child’s participation in the swimming program, and I acknowledge that although Cumberland Youth Foundation has taken the safety measures outlined in the Parent/Camper Handbook
to minimize the risk of injury, Cumberland Youth Foundation cannot insure that my child, the equipment, pool premises and/or water activities will be free of hazards, accidents or injuries. Furthermore, I hereby release Cumberland Youth Foundation, its employees and agents from liability, any
damages, or injury, including death caused by, derived from, or associated with my child’s participation in the swimming program, except for such damages or injuries as may be caused by the gross negligence or willful misconduct of the employees or agents of Cumberland Youth Foundation.

Payments and Refunds
No refunds will be given under the following circumstances: 1) voluntary withdrawal of a child from camp,
2) dismissal of a child from camp due to disciplinary issues. Refunds for extenuating circumstances (family emergency/crisis) will be determined on a case by case basis.
Confirmation
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Billing Information

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  • Discover
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