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The purpose of the Achievements Unlimited Basketball School, LLC is to provide basic fundamental basketball instruction to every camper. The instruction will be geared to cover all aspects of the game and will be tailored to the different age levels of campers. Additionally, in our efforts to help mold well-rounded future student-athletes, we stress the important of academics and the need for a strong stance against DRUG ABUSE through lectures from successful student-athlete role models from the NBA, ACC & NFL. The fee for each camper is $285.00 and includes: Fundamental Instruction, Supplemental Insurance, Daily Lunch, Progress Report, Team Picture, Anti-Drug Education, Camp T-Shirt, Gift Bags, Lectures by NBA, NFL athletes as well as other sports celebrities and Awards for tournament and contests winners.

LOCATION: CAROLINA COURTS INDIAN TRAIL DATES: Mandatory Orientation – Monday the 18th, July 2016 at 5pm

240 Chestnut Parkway, Indian Trail NC, 28079 – Tuesday July 19th - Friday July, 22th, 8:00am – 3:30pm

Charlotte, NC 28277

LUNCH SERVED EVERY CAMP DAY!!!!!

Participant’s Name:___________________________ ____________________________

Parent/Guardian:__________________________________________________________

Address:__________________________________________

City/State/Zip: _________________________________

Work Phone:_______________________________________

Cell Phone: _______________________________________

Email Address: _______________________________________

Age at Camp: ____

Sex: M - F

Shirt Size: (Child M - L) (Adult- L - XL - XXL)

Special Dietary Needs: _______________________________________

Parental Consent:

The Achievements Unlimited Basketball School, LLC has liability insurance policies. However, if the camper has any specific medical problem, please notify us in writing and submit with application. A qualified trainer will treat minor injuries. Serious injuries or illnesses will be treated at the closest hospital emergency room. I hereby state that the Achievements Unlimited Basketball School is not responsible for any previous injury or recurrence of any injury of my child prior to the first day he/she registers or occurring outside of camp operating hours and daily activities. The basketball school will assume responsibility only for injuries incurred while my child is participating in camp activities supervised during the enrollment period. I hereby agree to assume complete financial responsibility for any personal injury or property damage incurred as a result of a willful or negligent act of my child while he/she is a camper at the Achievements Unlimited Basketball School or on the ground of Carolina Courts Indian Trail, Community House Middle School, or Morrison Family YMCA. I hereby agree that in the event my child is unruly and the appropriate officials of the Achievements Unlimited Basketball School, LLC are of the opinion that such child may harm him/herself or others, or damage property, they can terminate such child as a camper and I agree to arrange for such child’s immediate transportation home, without refund of fee. All events are subject to documentation by the Achievements Unlimited production crew and any other media outlets. Achievements Unlimited, its affiliates, or sponsors reserve the right but not the obligation to photograph, file, and capture participants and participants’ likeness, voice and other actions and effects. I further agree that these images may be used in the production, distribution, promotion, publicity and advertising for Achievements Unlimited and other future events for perpetuity.

SIGN/DATE: ________________________________________________________

Please mail application and payment to: Achievements Unlimited POB 12395, Charlotte, NC 28220 FOR MORE INFORMATION: please call 704 365 4587