Bucks County Elite
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THIS FORM IS FOR SESSION THREE
TIME: 12pm to 2pm
GRADE: 9th Grade Only
LOCATION: Villa Victoria, Ewing NJ
DATES: 7/24/23-7/27/23 (M-TH)
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Indicates required field
PLAYER Name
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First
Last
Please enter the name of your player.
PARENT/GUARDIAN Name
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First
Last
Please enter the name of parent or guardian.
Select PLAYER Grade for 2023-2024
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Select
9th Grade
List ALL Known Allergies and/or Current Injuries (including concussions in the last 12 months)
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Please list all known allergies and/or current injuries. If none, please put N/A.
PARENT/GUARDIAN Email
*
Please enter the email address for parent/guardian listed.
Phone Number
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Please provide the phone number of Parent/Guardian listed.
EMERGENCY CONTACT Phone Number
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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
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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
NOT VALID.
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