WOMENS BASKETBALL PROSPECT CAMP 

FORM DETAILS






















Camp rosters are FULL! We are no longer accepting registrations at this time.

If you have questions, contact Jana Pearson at japearson@westmont.edu

Westmont Basketball Celebration

 Saturday, April 13th, 2024
2:00 pm -7:00 pm

Schedule of Events: 
1-1:45 pm: Optional Pre-Camp Campus Tour 
2-6:00 pm: Prospect Camp 
6:00-7:00 pm: Optional Q&A with the Warriors

Camp roster space is limited!
To reserve your spot submit this registration form as soon as possible!

If you have questions, please contact Jana Pearson at japearson@westmont.edu
CAMP DATE
Sunday, August 20th is now FULL
UNAVAILABLE CAMP OPTIONS

Sunday, June 12
 is now FULL

Saturday, July 30
 is now FULL

Sunday, July 31
 is now FULL

Saturday, December 10 is now FULL
ATHLETE








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PARENT/GUARDIAN



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SECONDARY PARENT/GUARDIAN




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ACADEMIC



Use 4.00 scale.


COLLEGE

(when entering college)
ROSTER





PAYMENT







Continue to the next page to complete this registration.

CONSENT FOR EVENT ACTIVITIES AND FOR TREATMENT

PARTICIPANT



EVENT





MEDICAL INFORMATION
Leave blank where not applicable.




If you have had no previous injuries, enter 'none'.

PARENT/GUARDIAN








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MEDICAL PROFESSIONAL


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AUTHORIZED ADULTS
Authorized for medical notification and pick-up.
CONTACT ONE


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CONTACT TWO


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Behavioral Management
I understand that:
a) behavior which disrupts the program or poses a threat to the safety of self or others will not be tolerated;
b) if Participant is unable to self-regulate their behavior then, after the event sponsor (or its agent) has made a good faith effort to resolve the issue (and, if Participant is a minor, consult with a parent or legal guardian), Participant may be removed from the remainder of the event; and
c) in such case there will be no refund of fees.
Authorization for Medical Care
If an injury or illness requires, in the opinion of the person in charge, urgent medical or dental examination or treatment, I authorize and direct that person (or their agent) to:
a) arrange transportation by car or ambulance to the closest hospital;
b) call the Medical Professional/s named above; and
c) attempt to reach one or more of the other listed contacts.
If a named Medical Professional is unavailable, I authorize any emergency treatment deemed necessary by a medical professional licensed for the required service.
Acceptance of Circumstances & Assumption of Risk
I understand that Westmont College assumes no financial responsibility or legal liability for medical care or ambulance transportation. I also verify that the Participant is in sufficient health to be able to participate in the event identified above. I recognize that all physical activity has some risk of injury.
Image Release
I authorize the use, in future program publications, of biographical, image, video or audio content recorded for or during event activities and include this Participant.
Electronic Signatures
A signed copy of this waiver submitted via this form shall be deemed to have the same legal effect as delivery of an original executed copy of this waiver for all purposes.
SIGNATURE


Continue to the next page to complete and finalize this registration.