FOR CHECK PAYMENT ONLY!!

Type in your information, print out the form, and have a parent SIGN IT.

Lu Dog Camp - August 5-9, 2019

Gender

I hereby authorize the staff of the Lu Dog Basketball Camp to act for me according to their best judgment in any emergency requiring medical attention for any injury or illness incurred while at the camp. I have no knowledge of physical impairment that would be affected by the above named camper's participation in the camp program as outlined in the brochure. I also understand that the camp retains the right to use for publicity and advertising purposes photographs of campers taken at camp.

x________________________________________   Print:_______________________________

Mail To:

 

LuDog Basketball Camps

236 Reef Ct.

Santa Barbara, CA 93109

Make Checks Payable:

 

LuDog Basketball Camps

Cost:

 

$240 total

or $100 deposit

Contact

Area of Service

Ventura county

Email

Hours of Operation

Mon - Fri: 9am - 2pm​​

805-338-1633

Phone

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