Registration LV Jul 19th

Registration: exposure spotlight:LV july 19

Please complete the form below. Upon submitting, you will be directed to a payment page. Registration and payment must be received to complete registration. (NO PERSONAL CHECKS). Reminder: $100 participation fee for individual athletes. NOTE: This event is BOYS ONLY. Event is from 5pm-9pm with registration starting at 4pm

* Indicates required field

Name: *

First

Last

Cell Number: *

Jersey Size *

Choose One *

Male Female

Email Address: *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Positions Played: *

Parent/Guardian: *

School: *

School Coach *

AAU Number, if applicable: *

Health Insurance Co: *

Policy Number: *

Group #" *

H.S. Grad Year: *

ACT Score: *

SAT Score: *

Height: *

GPA: *

Weight: *

HEALTH AND BEHAVIOR GUIDELINES AND WAIVER OF LIABILITY
PARENT OR GUARDIAN:
I understand that any Jam On It Exposure Spotlight participant who does not abide by the rules, regulations and policies established by JOI is subject to dismissal without reimbursement or recourse and I hereby waive and release Jam On It and their Exposure Spotlight Event from any and all liability for any injury or illnesses wile participating in the camp. I hereby authorize the directors of Jam On It Exposure Spotlight to act according to their best judgement in any emergency if I cannot be contacted. I understand that each camp participant is required to have their own medical and accident insurance.
By Submitting this application, Parent/Guardian and participating athlete agree to the Health and Behavior Guidelines and Waiver of Liability as outlined in the above paragraph.

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