Alabama JR ALL-AMERICAN Camp
Camp Player Registration Form
Please Print, sign and mail in with check or send in form after paying with PayPal.
Fill out form completely & mail along with your money order or check payment, payable to Jr All-American Camp. See address below. If paying with credit card, use PayPal. Send to  address: info@bamajrallamericancamp.com. No processing fee if mailing in.
  

Name____________________________________________________________

 Address__________________________________________________________ City_________________________ State_____ Zip________________________ Home Phone____________________ Cell Phone__________________________ 
Email 1____________________________

DOB___/___/______ Height______ Weight______ Position (circle one)  G     F     C Grade in 11-12_____ School 11-12______________ City, ST _________________ Travel Team________________________________________________________ Coach’s Name_____________________________ Cell______________________ Coach’s Email_________________________ Team Website__________________   

Insurance Information

 Carrier____________________________________________________________________________ Policy#___________________________________ Group#__________________________________ Emergency Contact____________________________________ Phone________________________________ I, the undersigned, submit that my son is physically fit and able to participate in strenuous activity and hereby waive Bama Hoops 1, University of Alabama Birmingham and Jr All-American Camp of all responsibility for illness or injury sustained.  I hereby authorize camp personnel and directors to act on my behalf in their best judgment in any medical situation.  I understand I am solely responsible for payment of any such medical expenses and must provide Bama Hoop 1, UAB and Jr All-American Camp with proof of medical and accident insurance.  I also understand that my payment is non-refundable and non-transferable under any circumstances.  

Parent signature______________________________________ Date_____________________

  Jr All-American Camp ? 140 Main St ? Birmingham, AL 35213 ? Email: info@bamajrallamericancamp.com