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Application
Please fill in the form and use the PRINT button below to print the application.
Mail the application with fee payable to:
Mike Gosz
276 Nob Hill East
Colgate, WI 53017
Personal Information
Last:
First:
M.I.
HT.
Address
Street
City
State
Zip
Phone
Email
Miscellaneous
School attending
Grade
1
2
3
4
5
6
7
8
9
(Fall of 2020)
Age at camp
Gender
Male
Female
T-shirt size
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Have you previously attended a
Mike Gosz Basketball Camp
Yes
No
Camps & Fees
July 6-9
Basketball Academy
@ St. Dominic's, Brookfield
First family member: $185.00
Each additional family member: $165.00
July 14-16
Shooting/Offensive Skills Camp
@ Hamilton High School, Sussex
First family member: $90.00
Each additional family member: $80.00
Waiver
I hereby authorize the personnel of the 2020 Mike Gosz Basketball Camp to act for me according to their best judgment in any emergency requiring medical attention. I hereby release the camp, its affiliates, and all agents from any and all liability for any injuries sustained while at camp.
________________________
Parent or Guardian Signature
________________________
Date
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