Matt Clark Basketball Camps - Pacetti Bay MS & 1-Day CPS Clinics

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-Noon). Please contact Coach Clark if a camper ages 5-7 wants to do full day

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

- Venmo: MClark_23

- Camp begins at 9:00AM each day at Pacetti Bay Middle School (Campers can 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.

Camp Registration Form:

Player Name *

Player Age *

School Attending *

Parent Email Address *

Parent Contact Number *

Shirt Size (Youth & Adult Sizes) *

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

Pacetti Bay MS Camp Registration *

Week 1A: June 26th-29th - Full Day (9AM-3PM) $165

Week 1B: June 26th-29th - Half Day (9AM-Noon) - $105

Week 2A: July 10th-13th - Full Day (9AM-3PM) - $165

Week 2B: July 10th-13th - Half Day (9AM-Noon) - $105

Week 3A: July 17th-20th - Full Day (9AM-3PM) - $165

Week 3B: July 17th-20th - Half Day (9AM-Noon) - $105

None

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

*Each Camp Week will run Monday-Thursday

CPS - Friday 1-Day Clinics (June Schedule) *

*There is a $2.00 processing fee for each week purchase

*CPS Clinics start at 9AM and ends at 1PM

Current Total:

$0.00

Gym Locations:

Pacetti Bay Middle School

245 Meadowlark Ln, St. Augustine, FL 32092

Cathedral Gymnasium

259 St. George Street

St. Augustine, FL 32084

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 Pacetti Bay Middle School (St. Johns County School District) and Cathedral Parish School 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 *