DuBois Dream Day FREE Kids Camp - Nov 13th
Presented by Spitzer Auto World
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Email *
Child's Full Name *
Child's Age *
Parent/Guardian Full Name *
Parent/Guardian Phone Number *
Participant's Address (Street, City, State) *
Participant's Current School and Grade *
I hereby certify that I am (or my minor/child is) in good physical and health condition and will assume all risks and liabilities related to my (his/her) participation in the DuBois Dream Kids Camp. I hereby release all claims of damage or suit I may have against the DuBois Dream, Albert Varacallo, III, DuBois Christian Schools, as well as all other coaches, organizers, participants or volunteers that are helping or involved with the DuBois Dream Kids Camp and agree to adhere to the health and safety protocols put in place. *
Emergency Contact - Name and Phone *
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