Basketball Camp Registration

COACH DAN DUNN:

Inspiring and motivational
Head college basketball coach in Chicago, IL.
Over 32 years of coaching experience.
Leader of basketball camps around the world.
Coach Dan emphasizes shooting skill fundamentals.
Coach Dan knows many NBA, college players & coaches.
Coach Dan loves Jesus!!!

A $15 Registration includes:
Expert instruction from experienced coaches.
Individual attention & awards!
Christian virtues & devotions each night!

FREE T-shirt for each camper!
FREE Bible for each camper
FREE Barbeque Dinner for kids, family and friends after Sunday awards ceremony!

Questions regarding Registration and/or Transportation Contact: Helen McLean 640-4602 or 729-7609
Scholarships are available if needed. Parents/Guardians are welcome to watch. Bring your lawn chairs.

PLEASE PAY THROUGH THE ONLINE GIVING PAGE!!! THANK YOU!!!

"Play The Right Way"

Cost: $15 per child due
on the first day of camp
Participation and Consent form will need to be signed by parent/guardian
on the first day before a child can participate.

Consent and Player Participation Form:
Please fill out the form below for each child that will be attending basketball camp.
By filling out this online form, you are giving your full consent for your child's camp participation.

This consent form gives permission to seek whatever medical attention is deemed necessary, and releases First Wesleyan Church, Wichita, KS and its staff and volunteers of any liability against personal losses of named child. I/We the undersigned have legal custody of the student named above, a minor, and have given our consent for him/her to attend events being organized by First Wesleyan Church. I/We understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release First Wesleyan Church, its pastors, staff and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child’s involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by First Wesleyan Church, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the student named above. I/we also agree to bring my/our child home at my/our own expense should they become ill or if deemed necessary by the student ministries staff member.

* Indicates required field

Child's Name *

First

Last

T-shirt Size *

Child's Date of Birth *

AGE *

Parent/Gaurdian *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Algeries *

Medical Insurance Provider and Policy # *

Emergency contact name *

First

Last

Emergency contact phone # *

Parent/Guardian Signature *

Best Contact Phone Number *

Contact Email *

Submit

Registration payment link

When online giving page opens click on the Donate button. Please add "basketball camp" to special instructions on payment form.

SUMMER BASKETBALL CAMP

Consent and Player Participation Form: Please fill out the form below for each child that will be attending basketball camp. By filling out this online form, you are giving your full consent for your child's camp participation.

Consent and Player Participation Form:
Please fill out the form below for each child that will be attending basketball camp.
By filling out this online form, you are giving your full consent for your child's camp participation.