REGISTER
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  EVENT:  
  1. GENERAL INFORMATION
Full Name:
Gender:   
Birthdate:
Grade:
Parent/Guardian Name:  First:       Last:  
Address:
City:
State:   Zip Code: 
Country:
Home Phone:
Work/Other Phone:
Parent E-mail:
  2. EXPERIENCE
 Have you attended any Basketball, Football, Baseball Camps before?
     
   
 How woud you rate your skills and abilities?
       
  4. AUTHORIZE AND SUBMIT
   

 (required)

I understand that participation in MTMF involves risk and dangers of serious and permanent bodily injury and death. I hereby release, hold harmless, discharge and agree not to sue MTMF / MARVIN THOMAS MEMORIAL FUND, its directors, officers, employees, coaches, officials, volunteers, agents, sponsors, advertisers, owners/leasers of premises for all liability from my participation in these and any other related travel, lodging, social and recreational activities.

I have given my daughter/son permission to participate in the MTMF events, and I certify that she/he is in good health and can take part in all camp activities. If an injury occurs, I authorize the camp staff members to take all proper action and use the emergency service available at the nearest hospital if necessary. I understand my personal insurance will be used in this case. In case of an emergency, I authorize the personnel to take action.

If I cancel my registration 10 days or more in advance of the start date of a camp, MTMF will refund my registration fee for that camp, but will charge a non-refundable service fee of $75.00. If I cancel my registration less than 10 days prior to, or up to the day before the start of a camp, MTMF will not refund my money, but will give me a credit toward a future camp, minus the $75.00 service fee. This credit will be valid for one year from the start date of the camp for which I canceled my registration. No refunds or credits will be given for any cancellations on or after the first day of camp. All cancellation requests must be in writing with no exceptions.

I also understand MTMF retains the right to use for publicity and advertising, photographs and video taken of the participants.

   

 Additional questions or comments to be included with your registration?