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2025 McT SUMMER CAMPS ~ Boys' Basketball ~ Individual Camp

2025 McGill-Toolen Catholic High School

SUMMER CAMPS ~ Boys' Basketball

Individual Co-Ed Basketball Camp

June 2nd-5th

9:00am-11:30am

McT /CYO Gyms

Rising K5-9th grade

Please make checks payable Phillip Murphy

COST: $125

Bring: basketball shoes, gym shorts, t-shirt, snack money for concession

Please complete the form below. Required fields marked with an asterisk *

Participant Information

First Name (Participant Name)*

Answer required for "First Name (Participant Name)"

Middle Name (Participant Name)*

Answer required for "Middle Name (Participant Name)"

Last Name (Participant Name)*

Answer required for "Last Name (Participant Name)"

What school do you attend? *

Answer required for "What school do you attend? "

Grade for the 2024-2025 school year*

Answer required for "Grade for the 2024-2025 school year"

Date of Birth*

Answer required for "Date of Birth"

Home Address*

Answer required for "Home Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

T-Shirt Size*

Answer required for "T-Shirt Size"

I hereby give my consent for my child to participate in all camp program activities and release McGill-Toolen Catholic High School, its' coaching staff, its' officers, directors, agents, and employees from any and all liability for personal injury arising from my child's participation in the program. If at any time it is necessary for the player to receive outside medical attention, I hereby give my consent to the program to secure the services and arrange transportation if deemed necessary. I am also aware I will be responsible for any and all medical expenses resulting from sickness or injury during the program. *

Answer required for "I hereby give my consent for my child to participate in all camp program activities and release McGill-Toolen Catholic High School, its' coaching staff, its' officers, directors, agents, and employees from any and all liability for personal injury arising from my child's participation in the program. If at any time it is necessary for the player to receive outside medical attention, I hereby give my consent to the program to secure the services and arrange transportation if deemed necessary. I am also aware I will be responsible for any and all medical expenses resulting from sickness or injury during the program. "

Yes (please check)

Parent/Guardian Name (Electronic Signature for consent) *

Answer required for "Parent/Guardian Name (Electronic Signature for consent) "

Special Custodial Information (if needed)

Answer required for "Special Custodial Information (if needed)"

Email *

Answer required for "Email "

Mobile Phone*

Number Required

Home Phone*

Number Required

Emergency Contact Name*

Answer required for "Emergency Contact Name"

Emergency Contact Phone Number*

Number Required

MEDICAL INFORMATION

Physician Name*

Answer required for "Physician Name"

Physician Phone Number *

Number Required

Health Insurance Company and Policy Number*

Answer required for "Health Insurance Company and Policy Number"

Preferred Hospital*

Answer required for "Preferred Hospital"

Allergies? *

Answer required for "Allergies? "

YES

If yes, please explain and what medication needed

Answer required for "If yes, please explain and what medication needed"

OTHER MEDICAL CONDITIONS?*

Answer required for "OTHER MEDICAL CONDITIONS?"

YES

If yes, please explain and any medication needed

Answer required for "If yes, please explain and any medication needed"

Permission to get treatment if parent is not reachable*

Answer required for "Permission to get treatment if parent is not reachable"

YES

Confirmation Email

Answer required for "Confirmation Email"