D3 Super Camp , LLC May 17 -19, 2024

————Hampton Roads Convention Center ———— Hampton, VA 23666



By signing my name below, I attest that I am in proper health to participate in the D3 Super Camp, LLC and do hereby release D3 Super Camp, LLC and staff: Director-Gregg Bennett, Co-Director-Dennis Ashcraft from any fault, obligation, or penalty resulting from any medical injury, infirmity, or disability as a result of my participation in this basketball camp.

email address:________________________________

Medical Waiver


Please Download the Above Physical Exam Form and Return Prior to Camp to:

Gregg Bennett / D3 Super Camp, LLC
1620 Centerville Parke Lane
Manakin Sabot, VA 23103