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Name:
Address:
City:
State And Zip:

 

 

 

 

 

 

 

Application

You can download the application, health form, and medication form below or complete the on-line form below and mail the deposit, medication form, and health form to: Chris Downs, Basketball Office, Augsbury Canter, St. Lawrence University, Canton, NY 13617

 

Click Here To Download Application (.pdf)

Click Here to Download Health Form (.pdf)

Click Here To Download Medication Form (.pdf)

These are all Adobe files. To download the free Adobe Reader click here.

 

On Line Application

Camper Name:
Birth Date:
Address:
City:
State/Prov.:
Zip:
E-Mail:
Roommate:
Home Phone:
Grade (Sept. 2008):
School:
Coach:
Please Select the Appropriate Box and Complete Information
Overnight: ($330)
Commuter: ($230)
T-Shirt Size: S M L XL
Waiver
Please enroll the above named child. I understand that neither St. Lawrence University, nor anyone associated with the Saints Basketball Camp will assume responsibility for accidents and medical or dental expenses incurred as a result of participation in this program. The applicant is in good health and able to participate in the physical activity of a vigorous camp. In the event of injury or illness while at Camp, I hereby consent and authorize the administration of all treatments and tests that may be considered advisable or necessary in the judgment of the accredited trainers, emergency room physician or any other clinical physicians. Application must be complete for all campers.
Signature of Parent or Guardian:
Date: / /
Insurance Release
Insurance Release: We (I) the parent(s) of understand that we (I) are responsible for any hospital expense or insurance coverage needed in case of emergency during ’s participation in the Saints Basketball Camp.
Insurance Company:
Policy Number:
Signature of Parent or Guardian:
Date: / /

 

 

Contact: Chris Downs, Head Men's Basketball Coach, St. Lawrence University, Augsbury Center, Canton, NY, 13617 Phone: (315) 229-5836 E-Mail: cdowns@stlawu.edu