2022 GLACIER BBB HIGH SCHOOL CAMP
Who: 10th-12th Grades (Fall 2023
When: 
Times:  4:00 PM-7:00 PM
Location:  Glacier High Gym
Camp Director: Mark Harkins
Contact Info: harkinsm@sd5.k12.mt.us
Complete this form & make payment to register for this camp.
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Email *
FIRST NAME (CAMP ATTENDEE) *
LAST NAME (CAMP ATTENDEE) *
CAMPER'S GRADE IN FALL OF 2022 *
CAMPER'S TSHIRT SIZE *
PARENT/GUARDIAN NAME *
PARENT/GUARDIAN CONTACT NUMBER *
PARENT/GUARDIAN CONTACT EMAIL *
EMERGENCY CONTACT *
EMERGENCY CONTACT NUMBER *
My child has the following known medical conditions (enter N/A if none apply): *
My child has the following allergies (enter N/A if none apply): *
BY INITIALING THE LINE BELOW, I AM RELEASING ALL EMPLOYEES OF GLACIER CAMPS FROM ALL CLAIMS OF LIABILITY ON THE ACCOUNT OF INJURY SUSTAINED BY MY CHILD (NAMED ABOVE) WHILE ATTENDING GLACIER CAMPS. I FURTHER RECOGNIZE THE CAMP DIRECTOR TO ACT FOR ME IN HIS/HER BEST JUDGMENT IN THE CASE OF EMERGENCY REQUIRING MEDICAL ATTENTION. *
Kinakailangan
PAYMENT *
Kinakailangan
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