Matt Clark Summer Basketball Camp Registration - PBMS

 
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 (8:30AM-11:30AM). 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 8:30AM each day at Pacetti Bay Middle School
- An email confirmation will be sent following registration confirmation
- Please contact Coach Clark at hammerbasketball@outlook.com for any additonal questions.
Camp Registration Form:
Camp Registration *
*There is a $3.00 processing fee for each week purchase
*Week 2 (July 5th-9th) will run from Tuesday-Saturday
*Week 2 Camp on Saturday, July 9th will end at 12:00PM (Noon)
 
Current Total:
$0.00
Gym Location:
Pacetti Bay Middle School
245 Meadowlark Ln, St. Augustine, FL 32092
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 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).