Summer 2023 Sports at OC

Register for Basketball Camp!

Required

Summer 2023 Basketball Camp Registration:

Student's Namerequired

First Name

Last Name

Date of Birthrequired

Must contain a date in M/D/YYYY format

Current Schoolrequired

Grade Entering Fall 2023required

Addressrequired

Cityrequired

Staterequired

Ziprequired

Parent/Guardian 1 Namerequired

Prefix (optional)

First Name

Last Name

Suffix (optional)

Parent/Guardian 1 Email Addressrequired

Parent/Guardian 1 Phonerequired

Parent/Guardian 2 Name

Prefix

First Name

Last Name

Suffix

Parent/Guardian 2 Email Address

Parent/Guardian 2 Phone

Permission to use photographs of your child for the purpose of illustrations and publications?required

T-Shirt Size (Price listed is total camp cost.)required

Lunch is not included, but pizza will be available to purchase.

PERMISSION

I, the parent or guardian of the above-mentioned child, give permission for my child to participate in the above-mentioned event, to be held on the date shown.

INDEMNIFICATION

In consideration of the sponsoring school’s agreement to allow my child to participate in the above event, and intending to be legally bound hereby, I agree to indemnify and hold harmless the sponsoring school and the Roman Catholic Diocese of Pittsburgh, their agents, successors and legal representatives, from any and all claims, demands, and actions at law or inequity that may hereafter at any time be brought by myself, my child or anyone acting on her behalf from any and all liability for personal injury (including death) and property losses or damage sustained by my child as a result of, or in any way related to her participation in the above event.

In addition to releasing Oakland Catholic High School and the Diocese of Pittsburgh from any liability due to occurrences during the event described above, I also release the group leader and the other chaperones from personal liability for consequences incurred due to the behavior of my child while traveling with the group or any other incident.

EVENT POLICIES

This program has been designed for the benefit of all campers attending. The teachers, group leader(s), coach(es), and chaperone(s) will be responsible for insuring that the campers adhere to the schedule of the program. I agree that in case of injury to my child, I will apply my hospitalization and accident insurance toward payment of the expenses incurred and will not look to the sponsoring school or the Roman Catholic Diocese of Pittsburgh for payment of any medical costs or injury related costs.

MEDICAL AUTHORIZATION

In the event of any injury or illness to my child during her participation in this camp, I hereby give my permission for the necessary medical treatment to be given to my child. I, for myself, for my child our respective heirs, and my respective legal representatives, do hereby indemnify and hold harmless any representative of the sponsoring school from any and all claims, demands and causes of action of whatever kind and nature for their actions taken pursuant to this authority.

I have read and understand the camp permission slip.required

I understand.

In Case of Emergency

If your child is not feeling well do you give the Summer School Office permission to dispense Tylenol (or a generic supplement)?required

Yes

Do you give the Summer School Office Permission to send your child to the hospital in case of an emergency?required

Yes

Health Insurance Carrierrequired

Please list all food/medications/allergies/specifications:

Parent/Guardian E-Signaturerequired

Authorization Daterequired

Must contain a date in M/D/YYYY format

Payment Information

Emailrequired

Provide an email address for the receipt.

Please select a payment typerequired

Credit Card

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year

Volleyball Camp - Registration FULL!