Anchorage Registration

June 24-25

 

Anchorage- August 2019

  • Registrant's Information

    Please provide your information in case we need to contact you about your registration.
  • Camper Information

    Great, let's get some info about our camper who will join us!
  • Please describe any disabilities, health concerns, special diets, allergies, and all medical conditions.
  • Please include special medication information.
  • Emergency Contact

  • Waiver and Release of Liability

    I represent and warrant that to the best of my knowledge and belief I am/my child is physically and mentally able to participate in Special Hoop Camp. I also represent that a licensed examiner has reviewed the health information set forth in my/the participant’s application and has certified, based on an independent medical examination, that there is no medical evidence which would preclude my/the participant’s participation. Special Hoop Camp has my permission (both during and any time after) to use my/the participant’s likeness, name, voice, or words in either television, radio, film, newspapers, magazines and other media in any form for the purpose of advertising or communicating the purposes and activities of Special Hoop Camp and/or applying for funds to support these purposes and activities. If a medical emergency should arise during my/participant’s participation in Special Hoop Camp activities at a time when I am not personally able/present to be consulted regarding my/participant’s care, I authorize Special Hoop Camp to take whatever measures are necessary to protect my/participant’s health and wellbeing, including, if necessary, hospitalization. I, the undersigned, have read and fully understand the provisions of the above release, and if I am an adult athlete someone has explained these provisions to me. By signing this release form I agree to the above provisions. If I am the parent/guardian of the athlete named on this form I am agreeing to the above provisions on my own behalf and on behalf of the athlete named on this application. If I am a witness for an adult athlete I certify that I have reviewed this release with the athlete and am satisfied that the athlete understands this release and has agreed to its terms.

  • Price: $50.00
  • PayPal Acceptance Mark

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Scholarships and financial assistance are available for those who are unable to pay. For information, please contact us.

Win a Trip to Mexico

Win a Trip for 2 to Sunny Mexico

$10.00

Win a trip to Cabo San Lucas or Puerto Vallarta Mexico! We will be drawing TWO separate winners. Each winner will receive a vacation package for 2 people that includes 7 nights lodging and airfare to your choice of either Cabo San Lucas or Puerto Vallarta Mexico.

 

A total of 1000 tickets will be sold. Tickets are $10 each, you may purchase as many raffle tickets as you like! To purchase multiple tickets, simply enter the number below that you would like to purchase.

The drawing will be broadcast on Facebook live Christmas Eve, December 24th 2019. Winners will be notified by phone.

Our payment system is PayPal; you can use either your PayPal account or just enter a major credit card through PayPal. You can also purchase tickets by calling (503) 875-8281.

In stock

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Number Of Tickets: 01

Description

Win a Trip for 2 to Sunny Mexico

$10.00

Win a trip to Cabo San Lucas or Puerto Vallarta Mexico! We will be drawing TWO separate winners. Each winner will receive a vacation package for 2 people that includes 7 nights lodging and airfare to your choice of either Cabo San Lucas or Puerto Vallarta Mexico.

 

A total of 1000 tickets will be sold. Tickets are $10 each, you may purchase as many raffle tickets as you like! To purchase multiple tickets, simply enter the number below that you would like to purchase.

The drawing will be broadcast on Facebook live Christmas Eve, December 24th 2019. Winners will be notified by phone.

Our payment system is PayPal; you can use either your PayPal account or just enter a major credit card through PayPal. You can also purchase tickets by calling (503) 875-8281.

In stock

Raffle will start in :

Raffle Remaining Time is :

Category:

Empowering People

 

Expanding Possibilities

 

Making a Difference

 

Win a trip to Cabo San Lucas or Puerto Vallarta Mexico! We will be drawing TWO separate winners. Each winner will receive a vacation package for 2 people that includes 7 nights lodging and airfare to your choice of either Cabo San Lucas or Puerto Vallarta Mexico.

 

A total of 1000 tickets will be sold. Tickets are $10 each, you may purchase as many raffle tickets as you like! The drawing will be broadcast on Facebook live Christmas Eve, December 24th 2019. Winners will be notified by phone.

Our payment system is PayPal; you can use either a PayPal account or a major credit card when purchasing tickets. You can also purchase tickets by calling (503) 875-8281.

International travel requires a current US passport. All proceeds benefit Special Hoop Camp a 501 c 3 nonprofit organization that provides service, support and sports camps and clinics for adults and children with cognitive and mental impairment. Winner will be notified by phone.