MAC Luke Strege Basketball Camp 2022

Camp Selection:

Camper Information

Camper Name:

Camper Age:

Camper Gender:

Camper Address

Camper City:

Camper State:

Camper Zip Code:

Parent/Guardian Name:

Parent/Guardian Cell Number:

Parent/Guardian Email:

By completing the payment for this form, you agree to the following:

Medical Release
I hereby give the Luke Strege Basketball Camp permission to act for me according to their best judgement in any medical emergency, and I hereby waive and release said camp from any and all liability and injuries incurred to my son or daughter while attending camp.

Photo Release
I hereby give the Luke Strege Basketball Camp permission to use camp photos in any future promotional materials.