Bucks County Elite
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THIS FORM IS FOR SESSION TWO
TIME: 10am to 12pm
GRADE: 5th thru 8th
LOCATION: Council Rock South (HS Gym)
DATES: 7/24/23-7/27/23 (M-TH)
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Indicates required field
Player Name
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First
Last
Select PLAYER Grade for 2023-2024
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CHOOSE ONE
3rd
4th
5th
6th
7th
8th
Parent or Guardian Name
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First
Last
Parent or Guardian Email
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Any allergies OR concussions in the last 12 months? Please provide date of last concussion as applicable.
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EMERGENCY Contact Phone Number
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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
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yes!
REGISTER & PAY NOW
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