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Toi A. Lin
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KYWEAR Basketball Camp
Player First Name
Player Last Name
Guardian First/Last
Player DOB
Please specify anything we should know about
Players Shirt Size
Players Grade (Please enter the grade the player entering)
Grade
Do you have a doctor’s approval to participate in physical activities?
No
Yes
Initials
I declare that the info I’ve provided is accurate & complete
I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.
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