Grace Community School-Tyler

Basketball (F)

2025 Lady Cougar Basketball - HS

Camp enrollment also includes summer league and summer workouts.

Camp Start Date:

July 14, 2025

Start Time:

1:00 PM

Camp End Date:

July 17, 2025

End Time:

5:00 PM

Venue Name:

High School Gym

Venue Address:

3001 University Blvd, Tyler, TX 75701

Camp Cost:

$165.00

Questions:

Devan Loftis

devan.loftis@gracetyler.org

(512) 297 - 7993

Medical Info:

I give my permission to the camp staff to secure medical attention for my child in case of emergency. I will also allow any photos/videos taken of my camper to be used in future promotions for Grace Community Camps via website/social media platforms or brochures. I release all the staff /coaches/camp volunteers and Grace Community Church and School from any and all liability.

Download Brochure

2025 Lady Cougar Basketball - HS

First Name *
Last Name *
Mobile *
Email *
Grade *
Birth Date *
Address *
City *
State *
Zip Code *
Medical Information *

List Medications/Medical Conditions here. If none, type N/A

Page 1 of 2

Next >>

Guardian First Name *
Guardian Last Name *
Guardian Cell Phone *
Guardian Email *
Alternate Guardian First Name
Alternate Guardian Last Name
Alternate Guardian Phone
Alternate Guardian Email
Medical Release Information
I give my permission to the camp staff to secure medical attention for my child in case of emergency. I will also allow any photos/videos taken of my camper to be used in future promotions for Grace Community Camps via website/social media platforms or brochures. I release all the staff /coaches/camp volunteers and Grace Community Church and School from any and all liability.
Guardian Signature *

I, the parent/legal guardian, agree entirely to the Medical Release Information.: clear
NO CAMP - Use this discount if unable to attend camp: Girls Basketball HS [-$75.00]
NO SPRING LEAGUE - Use this discount if you are not able to participate in April/May due to Spring Sports: Girls Basketball HS [-$15.00]

Page 2 of 2

<< Previous

Grace Community School-Tyler Basketball (F)

Please take a moment to fill out the information below and then proceed to the next page.

$165.00

Qty:

2025 Lady Cougar Basketball - HS

CAMPER INFORMATION

PARENT/GUARDIAN INFORMATION