St.Louis Sportscenter
6727 Langley Ave.
St.Louis, Mo 3123
Mail checks to:
MIDWEST SPORTS ELITE ORG
1021 S BIG BEND
ST. LOUIS, MO 63137
By checking the box below you agree to the following: I hereby request that my child be admitted to the Larry Hughes Camp. I hereby authorize and direct the Basketball Camp staff to exercise and act in their best judgment in the event any medical emergency regarding my child may arise. I also hereby confirm that my child is covered by accident insurance which provides coverage for any accidental bodily injury. By checking the box below, I hereby agree to hold harmless Larry Hughes, Midwest Sports Elite Org . and any of its agents and/or employees in connection with any incident or occurrence arising out of my child’s enrollment in the Basketball Camp.
I accept: