After-SchoolHours Basketball Camp & Transportation
2017-2018 After-School Hours Basketball Camp
(in-person or check by mail)
for Boys and Girls
ages 5 - 16 years old.
(Transportation runs after-school hours)
* Home Phone
Special Health Conditions/Allergies
Austin Rd (Henry Co)
Fair View (Henry Co)
Narvie J. Harris
Martin Luther King
authorize Camp of Champions and it's contracted transportation
company to transport,
to and from the designated locations (listed below) starting on
We need to be notified no later than 12:00
noon if your child will not be picked up in the afternoon
I hereby give my approval for his/her participation
in any activities of the Camp of Champions, Inc. Basketball Camp
and/or After-School Hours Basketball Camp, held at Camp Site:
and authorize staff persons of the Camp of Champions, Inc. to
provide guardianship for him/her while participating in Camp of
I assume all risks and hazards incidental to such participation,
including transportation to and from the activities, and do hereby
waive, release, absolve, indemnify and agree to hold harmless
the Camp of Champions, Inc., the organizers, sponsors, supervisors,
participants, staff persons, and person transporting my child
to or from activities, for any claim arising out of injury to
I agree to pay the Camp of Champions, Inc a late fee in cash
upon pick-up if pick-up is made after 6:30pm ET.
At 6:31pm ET a fee of $5.00 is required and $1.00 for each additional
minute beyond 6:31pm ET.
Parent __________________________ Date __________
NOTE: If you are a CAPS recipient, please contact Coach D for pricing and rate
After-School Hours Basketball Camp Fees include Transportation :
All fees are due upon pick-up at the beginning of the week.
Payments received after the beginning of the week will be assessed
a late payment charge of $10.00
The After-School Hours Basketball Camp coincides with the
County School Calendar.
Contact Coach D at CCI for pricing.
Make all check (s) & Money Orders Payable to:
Camp of Champions, Inc.
All return checks will be charged a $25.00 service fee.
Please complete the form, print, sign, date and mail to the
following address with your check.
Camp of Champions
P.O. Box 361531
Decatur, GA 30036-1531
Print the form
prior to Submitting
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