UTC Boys and Girls Basketball

Skills Camp

Hosted By - Jefferson High School

Coaches Include Current or Former College Coaches/Players and Varsity High School Coaches

Who: Boys and Girls Basketball Players Grades 3-8 and Grades 9-12 - Campers Can Be From ANY SCHOOL DISTRICT
Dates: July 18, 19, 20
Times: Grades 3-8 (1:00-3:00PM) and Grades 9-12 (3:00-5:00 PM)
Where: Jefferson HS
What to Bring: Clearly marked basketball, basketball clothes, basketball shoes, socks and a water bottle.
Cost: $89/player includes all 3 days of instruction, $39 one day ONLY, available ONLY to Grades 3-8
Refund Policy: Refunds will only be given up to two weeks prior to the start of camp.
Questions: Email Matt Bullis at utcbullis@gmail.com

    Register Below

    Release of Liability

    As the parent (guardian) of the named player 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 further agree that my child can receive over-the-counter remedies if necessary. (Tylenol, Sudafed, etc.) Please give special instructions above if you do consent to your child receiving over-the-counter medications.


    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.

    In consideration of my minor child/ward (“my child”) being allowed to participate in UTC Fire, 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 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.

    Payment Options

    Mail Check to: Ultimate Team Camps, 1540 Brookhaven Way, Plover, WI 54467

    Venmo:@Brad-Duckworth-4 Last 4 3726

    Pay by Credit Card: Click Pay Here Below

    Jefferson Skills Camp


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