Emergency Consent Form

Please fill out these forms on screen, print it, sign the consent form and mail it to us along with your payment.
If you choose to pay online with a credit card you must bring the consent form to your first day of camp.

Emergency Consent Form
I hereby consent to emergency medical treatment by the Higher Level Basketball Camp, and appoint the camp director or camp trainer to act in my behalf in authorizing emergency medical attention beyond that maintained by the camp.  I hereby waive and release the camp from any and all liability for injuries while at the camp or arising from travel to and from camp.  Camp will not be responsible for medical costs. 
Camper's Name:
Telephone:
Insurance Company Policy Name:
Insurance I.D. #:
Date:

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