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Girls Basketball Camps

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Athlete Information
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade (Entering this Fall) REQUIRED Please fill out this field. Please enter valid data.
- Parent/Guardian Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Insurance Information
- Health Insurance Company REQUIRED Please fill out this field. Please enter valid data.
- Policy Number REQUIRED Please fill out this field. Please enter valid data.
- Amount30.0
- I authorize my camp personnel to act for me in case of any medical emergency. I understand I am responsible for all medical fees associated with any injury that may occur. My child is physical fit to participate in any vigorous activity that might take place at HCCA Sport Camps. By my signature below, I hereby release and forever discharge, and waive, any and all claims against HCCA, its employees, sponsors, and volunteers that relate to my election regarding and/or my child’s participation in the HCCA Sports Camp.
- Parent Acknowledgement REQUIRED I agree Please fill out this field.
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Girls Basketball Camps

Parent/Guardian Information

Insurance Information