2024 Fullcourt Press Diamond in the Rough Unsigned Showcase - JC

Today's date * +

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Participant Information ...

Participant's First Name: *

Participant's Last Name: *

Best Phone: *

Participant's e-Mail:

Mobile Phone:

Participant's Street Address *

Participant's City, State, Zip *

HS Grad Year

Participant's School: *

City & State High School Located: *

GPA (cum): *

Did you take SAT/ACT? (Y/N): *

If yes, what was your score?:

Height: *

Participant's Parent(s) Guardian(s) Names: *

Participant's Health Insurance Company: *

Health Insurance Policy Number:

Health Insurance Group Number:

*** EVENT RULES & REGULATIONS ...

I understand that any Fullcourt Press Senior Showcase (FCPSSC) participant who does not abide by the rules, regulations and policies established by the (FCPSSC) is subject to dismissal without recourse and I hereby waive and release the (FCPSSC) from any and all liability for any injury or illness while participating in the camp. I hereby authorize the directors of (FCPSSC) to act according to their best judgement in any emergency if I cannot be contacted. I understand that each camp participant is required to have their own medical and accident insurance. I also understand that (FCPSSC) retains the rights to use for publicity and advertisement purposes, photographs of event participants.

*** I have read and agree to the Event Rules and Regulations as outlined in the paragraphs above. * *

YES

Year In School *