Strength, Agility, Quickness Camp: Summer 2019
June 3-June 28
July 8 - August 2
Program is 5 days/ week
*** Off week / no workouts July 1-5
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Student Name (Last, First) *
Student Email
Grade for 2019-20 School Year (Next Fall) *
Training Session (All sessions Monday-Friday) *
Parent / Guardian Name (Last, First) *
Parent / Guardian Mobile Number *
Parent / Guardian Email *
Emergency Contact Name (Last, First) *
Emergency Contact Mobile Number *
Allergies / Special needs (food allergies, asthma, diabetes, etc.) *
Sessions Participating (Week of July 4th - Off Week) *
Required
Consent to participate/Medical release/Waiver:
In the event of illness or injury to my son/daughter/ward, I give permission to any licensed physician to give him/her such medical treatment as they may consider necessary for his/her health or safety. I authorize the camp director or her designee to seek such treatment on my behalf. I hereby further agree to defend, indemnify, save and hold harmless the Cheyenne Mountain School District, its employees, agents, and directors, as well as the staff of the Sports Camp, from and against any claim for any claims, damages, or injuries which may result from my child’s participation in the activity, and furthermore agree to waive any claims my child or my family may have against the School District for losses, damages, or injuries which may result from my child’s participation in the above activity.
Please type your name, serving as electronic signature for the waiver above *
Send payment to CMHS attention Kris Roberts by Friday May 31, 2019
Checks payable to: CMHS , 1200 Cresta Road, COS, CO 80906
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