Kam's Kamp Registration

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A check for $60 should accompany this application. Make check payable to Kam's Kamp. Balance due on arrival. Camp will be filled on a first-come, first-serve basis.

FOR MORE INFORMATION, CONTACT: kamela.gissendanner@laroche.edu | 412-901-2239

Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

Height

Age

Shirt Size *

Adult S Adult M Adult L Adult XL Youth S Youth M Youth L

All participants must have their own health insurance coverage. The camp does not assume responsibility for illness or injuries sustained during the camp. The camp is not responsible for lost valuables or money. Please keep this in mind when preparing for camp. Participants must have had a physical examination within the last calendar year and be physically fit to participate in all camp activities. In the event of illness or injury requiring emergency medical attention and i cannot be contacted at the phone number(s) listed, i hereby authorize the camp directors to act for me according to their best judgment. I relieve the camp of any responsibility for any illness or injury that may occur.

Health Insurance Provider

Policy Number

* required field

LaRoche

Women's Basketball

Kam's Kamp Registration