Bucks County Elite
THIS FORM IS FOR SESSION TWO
TIME: 10am to 12pm
GRADE: 9th Grade Only
LOCATION: Villa Victoria, Ewing NJ
DATES: 7/24/23-7/27/23 (M-TH)
Indicates required field
Please enter the name of your player.
Please enter the name of parent or guardian.
Select PLAYER Grade for 2023-2024
List ALL Known Allergies and/or Current Injuries (including concussions in the last 12 months)
Please list all known allergies and/or current injuries. If none, please put N/A.
Please enter the email address for parent/guardian listed.
Please provide the phone number of Parent/Guardian listed.
EMERGENCY CONTACT Phone Number
Please provide the phone number for emergency contact listed.
DISCLAIMER & PHOTO CONSENT
We understand accidents occur and players may become, develop or irritate [previous] injury while
participating in camp. The Council Rock School District is 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.
Disclaimer & Photo Consent for Bucks County Elite VB Camp
I understand and accept
Before completing registration, you must accept the terms and conditions of our camp. If you do not and have questions, please contact Playbuckselite@gmail.com
REGISTER & PAY
PLEASE NOTE IF PAYMENT IS NOT PROCESSED ON THE NEXT SCREEN THIS REGISTRATION IS
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