GEISTFELD BASKETBALL CAMP

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Thank you to everyone who made this fun camp possible!

Two-step Process: REGISTER and return here to PAY

BB camp registration

* Indicates required field

Parent's Name *

First

Last

[object Object]

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Registering Athlete #1 for Camp *

Grades 7-12 Grades 5-8 Grades K-4

Athlete's Name #1 *

First

Last

Registering Athlete #2 for Camp *

Grades 7-12 Grades 5-8 Grades K-4

Athlete's Name #2 *

First

Last

[object Object]

Registering Athlete #3 for Camp: *

Grades 7-12 Grades 5-8 Grades K-4

Athlete's Name #3: *

First

Last

[object Object]

Home Phone Number *

Cell Phone Number *

PHOTO RELEASE FORM. *

Permission to treat form

Parent/Guardian Name *

First

Last

Authorization *

Yes permission to treat

I authorize camp and/or school
personnel to transport my son/daughter to a physician’s office and/or emergency room for treatment in the event that emergency medical care is needed while s/he is involved in the MLHS Sports Performance camp. Furthermore, I authorize the PHYSCIAN and HOSPITAL STAFF to treat my son/daughter, as they deem necessary in the emergency situation.

List any known allergies of medical conditions we should be aware of. *

Insurance Carrier *

First

Last

Policy # *

Father's Name *

Emergency Phone Number *

Mother's Name *

First

Last

Family Doctor's Name *

First

Last

Emergency Phone Number *

Phone Number *

Dentist Name *

First

Last

Phone Number *

Submit

Martin Luther Jr/Sr High School PO Box 228 315 Martin Luther Drive
Northrop, MN 56075
Phone:507-436-5249 E-Mail MLHS

Honoring Christ...Welcoming All

HOME
- DISCOVER MLHS >
NEW STUDENTS
CURRENT STUDENTS
PARTNERS IN MINISTRY
WAYS TO GIVE
SPECIAL EVENTS

Thank you to everyone who made this fun camp possible!

Two-step Process: REGISTER and return here to PAY

BB camp registration

Permission to treat form

Martin Luther Jr/Sr High School PO Box 228 315 Martin Luther Drive ​Northrop, MN 56075 Phone:507-436-5249 E-Mail MLHS​Honoring Christ...Welcoming All

Martin Luther Jr/Sr High School PO Box 228 315 Martin Luther Drive
Northrop, MN 56075
Phone:507-436-5249 E-Mail MLHS

Honoring Christ...Welcoming All