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
Miscellaneous
(Fall of 2025)
Gender
Camps & Fees
June 23-26, 2025
Fundamental/Offensive Skills Camp
@ St. Mary's, Menomonee Falls
First family member: $100.00
Each additional family member: $90.00
July 15-17 2025
Shooting Camp
@ St. Dominic's, Brookfield
First family member: $100.00
Each additional family member: $90.00
Waiver I hereby authorize the personnel of the 2025 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.

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Parent or Guardian Signature
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Date