UPPER FREEHOLD TOWNSHIP RECREATION
HEAD GIRLS BASKETBALL COACH,
ALLENTOWN HIGH SCHOOL
Allentown High School Gymnasium
SESSION I: GRADES 1-5 9:00 AM - 12:00 PM
SESSION II: GRADES 6-8 12:30 PM - 3:30 PM
CAMP FEATURES:
Individual and Team Instruction • Offensive and Defensive Drills • Games • Contests
Make checks payable to Upper Freehold Township Recreation
Mail to Upper Freehold Township Recreation, 314 Route 539, P.O. Box 89, Cream Ridge, NJ 08514
For more information, call the Recreation Dept. (609) 758-7738 ext. 212
www.uftnj.com
UPPER FREEHOLD TOWNSHIP REGISTRATION FORM – 2008 GIRLS BASKETBALL CAMP
Please complete one registration form per person. This form may be duplicated.
Check One: _____ Session I: Grades 1-5 _____ Session II: Grades 6-8
_____________________________________________D/O/B________ Grade (in Fall ’08)_____ School_________________
Child’s Name
________________________________________________________________________________Home Phone___________________________
Street Address City State Zip
Mother’s Name_________________________________________________ Work/Cell Phone _______________________________
Father’s Name _________________________________________________Work/Cell Phone ________________________________
Email ___________________________________________________________________
Is there any medical condition that would restrict the player’s participation in the program? ____Yes_____ No
If Yes, explain
_____________________________________________________________________________________________
PARENT or LEGAL GUARDIAN WAIVER
I, the Parent of the minor named above, realize there is a risk of being injured that is inherent in all sports. I hereby indemnify, hold harmless, waive and release any and all rights and claims for damages against Upper Freehold Township, the Recreation Department, and their agents, servants and employees, and other such individuals who may be involved in the planning and implementation of the program, for claims by participants, heirs, executors, administrators, or any other third party injuries that may arise from participation in this program, or acts of negligence arising out of this agreement. I also authorize Upper Freehold Twp. Recreation to use any photographs, videotapes, or recordings of the participant named above as may be needed for public relations purposes.
_____________________ _________________________
Parent or Legal Guardian Signature Date