Panthers All Sports Camp Registration 2024
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Email *
Child's Last Name *
Child's First Name *
What is your child's gender? *
What is your child's shirt size? *
What grade is your child entering in September 2024? *
Does your child have any allergies?( If yes, Please write what they are allergic to) *
Parent second email address (optional)
Are you registering for June 17-21? *
Are you registering for week 1 June 24-28? (FULL)
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Are you registering for Week 2- July 1-5?(no camp on July 4) *
Are you registering for Week 3-July 8-12?(FULL)
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Are you registering for Week 4-July 15-19? *
Are you registering for Week 5- July 22-26? *
Are you registering for Week 6-July 29-Aug 2? *
What school does your child attend? *
Parent's Name  *
Parent's cell phone number *
Parent Name
Parent cell phone number
What is your doctor's name? *
What is your doctor's phone number? *
 Emergency Contact Name *
Emergency Contact Number *

                                  RELEASE AND WAIVER

WAIVER: I hereby authorize the staff of Panthers All Sports Camp to act for me according to their best

judgment in any emergency requiring medical attention for my child(ren), I agree to pay the balance in cash on the 1st day or by check by June 15th. I also understand that the staff is competent, responsible and diligent in taking precautions to ensure the camper’s safety and wellbeing. I agree to share any concerns with Tara or Donna promptly, and realize that no matter how well the campers are supervised, there is a potential for incident and injury. I recognize these risks and allow my child(ren) to participate in Panthers All Sports Camp.
(Your name is your digital signature.)
*
I give my consent for my child’s picture to be taken and posted on our website and/or Panther All Sports Camp Facebook page. (The children will not be identified by name in the photos.) circle no if you do not want your child’s picture taken: 
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