Men's Basketball Prospect Camp

Would you like to register for camp or provide a scholarship?

Register for camp
Register for a scholarship

Camper Name*

First Last

Age

Grade as of Fall '24

T-shirt size

Section Break

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Phone*

Are you a GC employee?*

Yes
No

Camp Fee

Price: $100.00

GC Employee Discount

Price: $20.00

Total

$0.00

How would you like to pay?*

Credit Card (pay now)
Check (at a later date)

Please make checks out to "Goshen College"

Parent/Guardian and Emergency Contact

Parent/Guardian Name*

First Last

Parent/Guardian Email*

Parent/Guardian Phone*

Emergency Contact Name*

First Last

Emergency Contact Phone*

Liability & Waivers

Liability release*

Yes
No

I believe the information provided above is a complete and accurate statement of the physical and behavioral factors which may affect my child’s participation in this summer camp sponsored by Goshen College. I hereby grant permission for my child to take part in this Summer Camp sponsored by Goshen College. I also agree, on behalf of myself or my child, not to make any claims of any kind against Goshen College or any of its employees or agents for any loss or injury that my child might sustain while engaged in the Summer Camp program. I authorize such physician or medical staff as Goshen College may designate to carry out any minor treatment and/or medical staff to provide any treatment deemed necessary for the well-being of my child.

Photo release*

Yes
No

I hereby grant permission to Goshen College, and its employees, agents, and assignees, the right to photograph my child or use their picture for purposes of advertising, publicity, trade, or otherwise, as still photographs, transparencies, motion pictures, television, web images, or other media or means of reproduction, transmission, or exhibition. I release Goshen College, its employees, agents, associates, successors, and assignees from any and all claims for damages or compensation for any claims based on the use or sale of said materials. I hereby waive the right to inspect, approve, or edit said material.

COVID-19 precautions*

I agree to follow COVID-19 protocols set forth by Goshen College

Payment Information

Billing Address*

Same as Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Total

$0.00

Phone

This field is for validation purposes and should be left unchanged.

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Privacy Policy Agreement

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I agree

Men’s Basketball Prospect Camp