All Dan Hurley Basketball Camp Forms are available by clicking the links below.
Please note: The Parental Consent and Medical Forms are required for all campers. The Medicine Authorization Forms are required ONLY if your camper will be taking medications during camp.
Important: Please notify the camp administrators at (860) 675-8000 or by email at firstname.lastname@example.org of any food allergies.
- Medical Form – This form must be completed by the child’s physician and mailed or faxed to the address below by June 1, 2019. Any physical taken within two years of the start of camp is valid for our purposes and may be submitted in place of the attached medical form, as long as the information is consistent with what our form requires. We cannot allow any youngster to participate until we have a copy of his physical. The fax number for the camp office is: 860-674-1704 or scan and email to email@example.com
- Medicine Authorization – PLEASE READ THIS! DO NOT MAIL THIS TO US.
This is a STATE OF CONNECTICUT ‘Authorization for the Administration of Medications’ form. One medication per form: EVERY medication (Over-the-counter (i.e. Advil) or Prescription (i.e. Albuterol)) must have its own form with the medication. This form must be signed by both the child’s physician and the child’s parent/guardian in order for the camp to administer medication to your child. PLEASE BE AWARE THAT WE CANNOT ADMINISTER MEDICINE – EVEN OVER-THE-COUNTER DRUGS WITHOUT THIS FORM BEING SIGNED BY A DOCTOR. All medications must be in their original container. Do not mail this form to us. Please bring it with you on the first day of camp, signed, with any medications your child may require. Finally, SELF ADMINISTRATION AUTHORIZATION applies to Asthma and Epi-Pen medications only.
- Parental Consent Form – This form must be completed and signed by the camper’s parent/guardian and mailed or emailed to firstname.lastname@example.org to the camp office within two weeks of registration.
- Late arrival and early release form – This form is for any camper who may be arriving late, leaving for a while or leaving early from camp. Please download and fill out and return to the camp office by fax or email so that it can be delivered to the camp director.
Dan Hurley Basketball Camp
c/o Gold, Orluk & Partners
P.O. Box 1177
Avon, CT 06001-1177
or fax to: 860-674-1704
Please note: If someone other than a camper’s parent/guardian will be coming to pick him up from camp, a permission note from that camper’s parent/guardian must accompany the adult picking up the camper. If possible, please notify the camp administrators in advance by calling 860-675-8000. Please bring a signed note from that parent/guardian to check-in on the day of registration.