Athletic Club of Bend

Come join us
Sept 21. 2019
9am-1-pm

 

 

 

 

 

Create memories, build skills.

September 21, 2019

61615 Athletic Club Dr
Bend, OR 97702

9am to 1pm

$25/person

Hoop Camp and The Athletic Club of Bend invite ALL adults and children with special needs, autism, down syndrome, and cognitive and mental delays and disabilities to this special needs ‘unified’ basketball clinic.

This event is a ‘unified’ and inclusive event so we encourage friends and family to also register and sign up as well. This will be a great chance to meet and rub shoulders with one of the top coaches in the nation and a great chance to mix, mingle and learn from his coaching staff and his players.

All participants will get a T-shirt and we will have a variety of prizes, trophies, and awards to give away. All drills contest and games will be modified based on the capabilities of each participant. We encourage friends and family to register too!

Athletic Club of Bend 2019

  • Registrant Information

    Please provide your information should we need to contact you about this registration.
  • Camper Information

    Please provide information for the camper who will be joining us.
  • Please describe any disabilities, health concerns, special diets, allergies, and all medical conditions.
  • Please include special medication information.
  • Emergency Contact

  • 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: $25.00
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