Matt Clark Summer Camp Registration - Beachside HS & SJDR

Please read carefully the following information:

- If you are registering for more than (1) camper, please fill out a new form for each camper attending

- The health and safety of our campers and staff is the number one priority of the Matt Clark Basketball Camp There will be sanitize stations throuhgout the gymnasium and campers will be reminded frequently to wash their hands

- Campers ages 5-7 are encouraged to sign up only for the morning session (9AM-12PM). Please contact Coach Clark if a camper ages 5-7 wants to do full day

- Venmo and Cashapp can be accepted forms of payment to avoid the processing fee.

Venmo: MClark_23

- Camp Begins at 9AM Each Day (Campers are allowed to come as early as 8:45AM)

- An email confirmation will be sent following registration confirmation (Please allow 24 Hours)

- Please contact Coach Clark at hammerbasketball@outlook.com for any additonal questions.

- *Each Week of Camp is Monday-Thursday (Camp Ends on Thursday)

Camp Registration Form:

Player Name *

Player Age *

School Attending *

Shirt Size (Youth & Adult Sizes) *

Parent Email Address *

Parent Contact Number *

How did you hear about camp? (Past camp, word of mouth, advertising, etc) *

Beachside HS Camp Registration *

Week 1A: June 5th-8th - Full Day (9AM-3PM) - $165

Week 1B: June 5th-8th - Half Day (9AM-Noon) - $105

Week 2A: June 12th-15th - Full Day (9AM-3PM) - $165

Week 2B: June 12th-15th - Half Day (9AM-Noon) - $105

None

San Juan del Rio Camp Registration *

Week 1A: July 5th-8th - Full Day (9AM-3PM) - $165

Week 1B: July 5th-8th - Half Day (9AM-Noon) - $105

None

*Each Week of Camp is 4-Days (Monday-Thursday)

*Due to July 4th Holiday, the SJDR camp will be from Wednesday-Saturday

Current Total:

$0.00

*There is a $3.00 processing fee for each week purchase

Gym Location:

Beachside HS

200 Great Barracuda Way, St Johns, FL 32259

San Juan del Rio Gymnasium

1714 State Rd 13

Fruit Cove, FL 32259

Basketball Camp Injury & Covid Waiver Liability Form

Please read carefully.

As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the camp and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I hereby authorize the staff of Matt Clark and Hammer Basketball to act for me according to their best judgment in any emergency requiring medical attention. I hereby authorize and release the staff of Hammer Basketball (The Positive Hammer LLC) and San Juan del Rio Catholic Church and Beachside High School (St. Johns County School District) of any and all liability for any injuries or illnesses that occurred while under their direction. The undersigned parent, guardian, or legal representative further acknowledges that he/she is authorized to enter this agreement on behalf of the child, child’s parents, personal representatives, assigns, heirs, and next of kin.

I further authorize any representative of this camp to obtain medical treatment for my child in the unlikely event of injury or illness during this program, and I agree to pay any expenses incurred for such treatment.

By signing this waiver, I also authorize the use of pictures of the participant(s) to be posted through the camp website or advertising media (social media) by Matt Clark and Hammer Basketball (The Positive Hammer LLC).

Parent Electronic Signature *