Online Camper Registration
Bishop O' Connell High School
6600 Little Falls Road
Arlington, VA 22213
Nov 15 - Dec 25
Dec 26 - Mar 1
Mar 2 - Apr 1
After April 1
Email: Primary address to send information
Date of birth
Users's Information (to log into account)
Sessions and Extended Care.
Session #2 July 30 - August 3
Optional Before / After Care (non Refundable)
Morning: $25.00 per week
Afternoon: $30.00 per week
AM/PM Combo: $40.00 per week
Parent/Legal Guardian Name
Emergency Contact Name
Emergency Contact Phone
Emergency Contact relationship to camper
Insurance Policy Holder
Insurance Group Number
Medical Hitsory (check all that apply)
Food or other
Other chronic health conditions
Prescription medicine (see medication section below)
Explain if you checked any boxes above
Medication (reason, dosage, timing, camper is required to have one dosage before camp)
The above-listed medication(s) may be given to the above-named camper
I give permission for my child to take more then one dose of over-counter medications(s) (pain reliever, antacid, cough meds, etc.). The camp stocks these medications so there is no need to send them to camp.
Consent to release
I hereby give permission to Coach Wootten’s Basketball, LLC., its officers, employees, agents, trainers, and staff members to take whatever action is necessary for the health and welfare of my child including consenting on my behalf to any and all medical treatment, procedures, operations and/or hospitalizations and I further agree to hold them harmless and indemnify them for all medical bills incurred for the treatment of my child. I understand that basketball is a very physical sport and which can result in serious injury. I hold Coach Wootten’s Basketball, LLC., its officers employees, agents, trainers and staff members harmless and hereby release them from liability for any injury to my child while attending the camp.
I hearby give permission for my child to be transported to other local gymnasiums and O'Connell certified bus driver.
Accept privacy and condition of use policies.
How did you hear about us?
Word of Mouth
Attended Coach Wootten Event