Team Camp 24-25

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Boys :June 13-14

Girls June 20-21

Email address *

First name *

Last name *

City *

State *

Team Name: *

Coaches Name: *

Coaches Phone Number: *

Coaches Email: *

Team Gender *

Boys Girls

Division Preference: *

Upper Middle Lower

Would you also like to participate in the Cardiac Tournament for an additional $50? *

Limited to the first 16 girls teams and the first 16 boys teams

Yes No

Any other comments or notes about your team?

*I understand by the nature of the activity there is the possibility of accident, and assure the risk and responsibility while attending the DCC Basketball Tournament. I as parent/guardian of a minor student, permit emergency care to be administered to him/her as deemed necessary by the tournament staff. I will allow the involved hospital and/or doctor to administer the required treatment of the emergency condition. I also understand that all incurred costs are my personal responsibility and that DCC and the Tournament does not have insurance coverage for injuries to sport tournament participants.

Please Select One *

Yes No

Coaches Electronic Signature: *

* required field