Home
Upcoming Events
Team Camps
Boys Basketball Team Camp
Girls Basketball Team Camp
Wrestling Team Camp
Girls Volleyball Team Camp
Team Camp Health Forms
Fire AAU
Fire Information
UTC Fire AAU Girls
17U – GIRLS
16U – GIRLS
15U – GIRLS
14U – GIRLS
13U – GIRLS
12U – GIRLS
11U – GIRLS
10U – GIRLS
UTC Fire AAU Boys
17U – BOYS
15U – BOYS
14U – BOYS
13U – BOYS
12U – BOYS
11U – BOYS
10U – BOYS
Fall AAU
Basketball Skills Training
Summer League
Sunday Night Boys League
Tuesday Night Girls League
Wednesday Night Boys League
Thursday Night Girls League
About Us
UTC STAFF
HISTORY OF UTC
Coach Marcus Heidorf
Photos
Team Camp Photos
UTC Fire Photos
Payment Info
Please enable JavaScript in your browser to complete this form.
Camp Attending
Team Camp Attending
*
Girls Basketball Camp 1 (June 25-June 27 @UWSP)
Girls Basketball Camp 2 (June 27-June 29 @UWSP)
Boys and Girls Wrestling Camp (July 7-July 9 @UWSP)
Girls Volleyball Team Camp (July 18-19 @UWSP)
Campers Information
Campers Name
*
First
Last
Campers Date of Birth
*
Campers Phone Number
Camp Attending and High School
*
Choose High School
GBB1 - Neenah
GBB1 - Kaukauna
GBB1 - Hudson
GBB1 - Menomonie
GBB1 - Marion (Iowa)
GBB1 - Oshkosh West
GBB1 - Marshfield
GBB1 - Elkhorn
GBB1 - Wauwatosa East
GBB1 - Grafton
GBB1 - Machesny Harlem
GBB1 - SPASH
GBB1 - Xavier
GBB1 - Deforest
GBB1 - Mukwonago
GBB1 - Black River Falls
GBB1 - Chip Falls
GBB1 - Marinette
GBB1 - Waukesha West
GBB1 - Pittsville
GBB2 - DePere
GBB2 - Brookfield Central
GBB2 - Green Bay Preble
GBB2 - Stratford
GBB2 - Westfield
GBB2 - Morton
GBB2 - Mosinee
GBB2 - Ishpeming, MI
GBB2 - Wautoma
GBB2 - Wisconsin Rapids
GBB2 - Negaunee
GBB2 - Oconomowoc
GBB2 - Westby
GBB2 - Edgar
GBB2 - Clintonville
GBB2 - Ellsworth
GBB2 - Coleman
GBB2 - Suring
GBB2 - Almond Bancroft
GBB2 - West De Pere
GBB2 - Beaver Dam
GBB2 - Arrowhead
GBB2 - Port Washington
GBB2 - Merrill
W - Eau Claire North
W - Medford
W - Oconto
W - Cannon Falls
W - Waupaca
W - Mayville
W - De Pere
W - Shawano
W - St Croix Central
V - Muskego
V - Rosholt
V - Amery
V - Chilton
V - Coleman
V - Horicon
V - Heritage Christian
V - Lancaster
V - Elcho
V - Adams Friendship
Girls Basketball Camp 1 - GBB1, Girls Basketball Camp 2 - GBB2, Wrestling - W, Volleyball - V
Parent/Guardian Information
Parent/Guardian Name
*
First
Last
Parent/Guardian Email
*
Parent/Guardian Phone
*
Would you like to add additional emergency contacts?
*
Yes
No
Additional Emergency Contact
*
First
Last
Additional Emergency Contact Phone
*
Medical Information
HEALTH & GENERAL HISTORY: If the camper should be restricted from any activity please note:
Please identify any medical condition or medical history that would/may require special attention:
Will the camper be taking any medications during camp?
*
Yes
No
Please indicate all medications and dosages:
*
Do you give permission for the camper to maintain possession of and self-administer all medications?
*
Yes
No
*** IF YOU CHOOSE NO*** If you choose not to consent that your athlete can correctly/safely administer medication - the medication will be collected at the start of camp and returned on the last day. If medication is to be collected please have the medication in a clear zip lock bag with camper's name and required dose clearly labeled on the bottle.
Any know reactions to medications?
Anything additionally regarding medication?
Please list any other common conditions (e.g. asthma), Allergies (e.g. Insects), or know reactions from medications.
Health Insurance Information
Doctors Name
First
Last
Doctors Phone Number
Policy Holder's Name:
*
First
Last
Policy Holder's Date of Birth
*
Insurance Name:
*
Policy Number
*
Group Number
*
Release of Liability
By checking this box I am certifying I have legal ability to consent for the camper. I agree that all information provided is accurate to the best of your knowledge. I am over the age of 18 and I allow Ultimate Team Camps to act in the best determined interest of my child should there be contact not be possible or available.
*
I have legal consent for the listed camper
As the parent (guardian) of the named camper, I give permission to receive emergency medical or surgical treatment and hospitalization if necessary. I understand that every attempt will be made to contact me, or the emergency contact named above, before taking this action. I will be financially responsible for any medical attention needed during camp or resulting from an injury received at camp. My medical insurance shall be the insurance coverage for any medical treatment. I understand that the medical staff cannot provide medications (including over the counter medications).
*
I consent
I also agree that my child may be transported by bus and/or camp vehicle to an off-site medical center or for emergency medical treatment. The undersigned further expressly agrees that the attached waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by law and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.
*
I consent
In consideration of my minor child/ward (“my child”) being allowed to participate in this sport camp program, its related events and activities, I, the undersigned, acknowledge, appreciate, and agree that: 1. The risk of serious injury from the sports activities involved in this program is always present due to the nature of the sport (s); and 2. FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my child’s participation; and 3. I willingly agree to comply with the program’s stated and customary terms and conditions for my child’s participation. If, however, I observe any unusual significant concern in my child’s readiness for participation and/or in the program itself, I will remove my child from participation and bring such to the attention of the nearest official immediately; and 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS the Camp, Ultimate Team Camps, its affiliates, officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for activity (“Releases”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, OR LOSS OR DAMAGE TO PERSON OR PROPERTY, regarding my child and/or arising from his/her activities, WHETHER ARISING FROM NEGLIGENCE OF THE RELEASEES OR OTHERWISE, except for willful misconduct, or otherwise to the fullest extent of the law. I HAVE READ THIS HEALTH FORM AND RELATED CERTIFICATIONS, THE RELASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND THEIR TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
*
I consent
Signature
*
Clear Signature
I HAVE READ THE POLICIES AND FULLY UNDERSTAND MY OBLIGATIONS STATED THEREIN AND ALSO THE RIGHTS OF Ultimate Team Camps, AND HERBY AGREE to hold harmless Ultimate Team Camps and an agent of Ultimate Teams Camps.
Submit