Bucks County Elite
THIS FORM IS FOR THE MORNING SESSION. 3RD, 4TH & 5TH
GRADE ONLY @ COUNCIL ROCK SOUTH AUGUST 8TH THRU
AUGUST 12TH, 8AM TO 10AM.
Indicates required field
Select PLAYER Grade for 2022-2023
Parent or Guardian Name
Parent or Guardian Email
Any allergies OR concussions in the last 12 months? Please provide date of last concussion as applicable.
EMERGENCY Contact Phone Number
DISCLAIMER & PHOTO CONSENT
We understand accidents occur and players may become, develop or irritate [previous] injury while
participating in camp. Council Rock School District/supplemental sites are not held liable for these athletic incidentals
and your player is participating at their own risk. We will address any injuries brought to our
attention promptly and advise where possible. Over the course of camp, we may photograph and publish marketing materials containing our players, coaches and facilities.
I have read, acknowledge and agree to the Disclaimer and Photo Consent Policy
REGISTER & PAY NOW
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