The “Fun” Summer Camp
Child’s
name: ___________________________________________
Upcoming Grade:
__________ Gender: _____ Cell:
_____________________
Email:
__________________________________________________________
Home
address: ___________________________________________________
Elementary
School: _______________________________________________
Circle which
week or weeks of camp your child will be attending:
Week 1 June
13-16 Tee-shirt
size:
Week 2 June 20-23 YS YM AS AM AL
Week 3 June 27-30
List other
children signing up for camp with you: ________________________
________________________________________________________________
Emergency
contact and number: ___________________________
Allergies: Yes No
If yes,
please specify: _______________________________________________________________
In case of
an emergency, every effort will be made to contact the parent at the emergency
number listed. Failing to contact the
emergency contact, I give my permission to the camp to secure proper emergency
treatment while efforts to locate the parents continue.
Sign: _________________________Relationship
to child: __________________
Email
registration to: goldensportsprogram@gmail.com
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