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Camp Hill Sports Center - Liability Release Waiver 2023-2024
CHSC Waiver Form
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* Indicates required question
Email
*
Your email
Reason For Visit (Team/Club/Camp Name)
*
Fusion VBC
Central Penn Field Hockey
Sunday Open Gym Volleyball (2023/2024)
Quads Volleyball League
Mid Penn Motion
NIKE Volleyball Camp
Holy Trinity Greek Orthodox Basketball Tourney
Team Impact Basketball
Central PA Volleyball Tourney
Other (anything other than listed)
Other:
Untitled Title
Participant Name (Athlete or Spectator)
*
Your answer
Participant Age
*
Your answer
Participant Birthdate
*
MM
/
DD
/
YYYY
Parent/Guardian Name
*
Your answer
Parent Cell Phone
*
Your answer
Address
*
Your answer
Waiver Document
Waiver Document Page 2 -
Electronic signature (Parent or Guardian if under 18)
*
Your answer
Date
*
MM
/
DD
/
YYYY
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