Summer Basketball 2008RELEASE FORM: We hereby grant permission for my/our child to be a participant in the Nick Nurse Enterprise basketball camp, and if an injury should occur during, or traveling to or returning from the camp, I/we agree to pay for all costs, present and future, through my/our medical insurance policy and/or personal finances. Nick Nurse, and other camp staff members are not responsible. I give permission for Nick Nurse Enterprises to seek emergency help if necessary. We also agree that the use of photography is permitted and may be used in any way for promotional purposes. PARENT / GUARDIAN SIGNATURE ___________________________________________________ CAMPER NAME ____________________________________ GRADE _________ AGE ______ ADDRESS __________________________________________ CITY _________________________________ EMAIL _____________________________________________ PHONE # ______________________________ SEND TO: NICK NURSE ENTERPRISES 109 CARVER AVENUE RHODES, IA 50324 |