Richland Northeast Basketball Skills Academy

Richland Northeast Basketball Skills Academy Monday, June 26th through Wednesday, June 28th 8:00 AM – 1:00 PM The New Richland Northeast Basketball Facilities Come and experience Basketball Camp at its best! Gift your child with the learning experience of their life, where they are guaranteed to have a blast. This Skills Academy will be directed by Richland Northeast Head Coach, Lucas Hargrove, and Staff. For Inquires: [email protected] Child’s Name: _______________________________________________________ Child’s T-Shirt Size (Please indicate quantity for more than one child in attendance): YS_____ YM_____ YL_____ AS_____ AM_____ AL_____ AXL_____ Child’s Age and Grade just completed: __________/_________ Parent/Guardian’s Name: ______________________________________________ Home Address: _______________________________________________________ ______________________________________________________________________ Home Phone: _____________________ Cell Phone: _______________________ Email Address: _______________________________________________________ Camp is open to all children, ages 10 to 18. Both boys and girls welcome! Registration Fee: $60.00 -- Date Paid: _________ Cash: ______ Check #: _______ You can mail your registration and payment to: Richland Northeast High School, Attention “Fees Office/Boys Basketball” 7500 Brookfield Rd. Columbia, SC 29223. Please make all checks payable to Richland Northeast High School, and include your home phone number and address. There is a second sibling discount of 50%. CAMP TUITION IS NON-REFUNDABLE! MINOR RELEASE: AND I, THE MINOR’S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF THE ACTIVITY AND THE MINOR’S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR’S ACCOUNT CAUSED, OR ALLEGED TO BE CAUSED, IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF, DESPITE THIS RELEASE, I, THE MINOR, OR ANYONE ON THE MINOR’S BEHALF MAKES A CLAIM AGAINST ANY OF THE RELEASEES NAMED ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSSLIABILITY, DAMAGE, OR ANY COST THAT MAY OCCUR AS A RESULT OF ANY SUCH CLAIM.

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