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REGISTER A CAMPER FOR SUMMER 2026 

summer basketball camp
Grade of Camper in Fall
Birthday
Month
Day
Year
Shirt Size of Camper
Child's Gender

Insurance

WAIVER

I hereby certify that I am the parent or legal guardian of the camper listed on this this registration form  I hereby give permission for the Camp staff to seek during the period of the Camp, appropriate medical attention for my child, for the medical attention to be given to my child, and for my child to receive the medical attention in the event of accident, injury or illness.  I will be responsible for any and all costs of medical attention and treatment.  I understand basketball and the other physical activities at camp can cause injuries and injuries can often occur during participation in the sports at Camp.  I also understand that there will be more campers than staff at the Camp, and that my child cannot receive individualized attention and individualized supervision at all times.  I hereby acknowledge that my child is physically fit and mentally capable of participating in practices, games, and all camp activities. I hereby acknowledge and understand that “Summer Heat Basketball Camp” is a privately run sports camp and is not operated by or through Mission Viejo High School or Saddleback Valley Unified School District.  The Camp is neither sponsored, controlled, nor supervised by Mission Viejo High School or Saddleback Valley Unified School District, but rather is under the sole sponsorship, control and supervision of the Camp Director, Keith Herbold.  I waive, release, and forever discharge Keith Herbold (Camp Director), “Summer Heat Basketball Camp”, Allaroundgame Sports, and Saddleback Valley Unified School District and the aforementioned staffs, officers, agents, employees, representatives, successors, and assigns from any and all liability claims, demands, actions, and cause of action whatsoever arising out of or related to any loss, personal injury, or property damage that may be sustained or occur during the participation in camp activities or while at Camp. I give permission for the “Summer Heat Basketball Camp” to take photographs of my child while engaged in Camp activities for the sole purpose of advertising and publicity, and I understand that my child’s identity will remain anonymous in conjunction with any photograph used in marketing. My signature below indicates that I have provided true information and have read, understand and agree to all statements on this entire form and on any other form required by the Camp.

Camp Cost
$150
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