Name: Address: City: , State: Zip: Telephone: , Emergency Phone Number: Grade: School Attending:
Please check the adult T-Shirt size needed:
Please check the camp you are attending:
The camp will be held at the University of St. Francis Recreation Center, located at the corner of Wilcox and Douglas Streets in Joliet.
By checking here, I understand that the dangerous elements of the game of basketball will be present at the University of St. Francis Basketball Camp. I understand that the University of St. Francis and the camp coaching staff are not liable for injuries sustained during the camp.
Name of Parent / Guardian: Date of submission: