Neumann Goretti 2021 Middle School Basketball Camp For Current 6th, 7th, and 8th Graders Camper Registration Form Student Athlete's Name(Required) First Last Student Athlete's Current Grade(Required)Select6th 7th 8th Parent or Guardian's Name(Required) First Last Parent or Guardian's Phone Number(Required)Parent or Guardian's Email(Required) Primary Physician & Insurance Provider Is your student athlete currently taking any medication? Does your student athlete have any prior health concerns we should be aware of?(Required)Consent(Required)My student-athlete and I agree to and will abide by all rules and guidelines of the Neumann Goretti Basketball Camp. I recognize that there is a possibility of injury associated with participating in the Neumann Goretti Basketball Camp sponsored activities, and with consideration for the Neumann Goretti Basketball Camp staff providing these activities, I agree to release the Neumann Goretti Basketball Camp staff from all liabilities from injuries sustained during the Neumann Goretti Basketball Camp. I agree to the consent policy.How would you like to pay?(Required) Secure Credit Card Paypal Cash App [$NGSaintsHoops] By selecting 'Secure Credit Card' or 'Paypal' you will be prompted to pay now. If you choose Cash App you will need to pay $99 within 24 to reserve your spot.Registration Price: $99.00 Credit Card(Required)Card Details Cardholder Name If you’re having any issues with registering, please email firstname.lastname@example.org.