CBHS Football 2024 Brothers' Night Lights
May 19th, 2024
6-8 pm at Tom Nix Stadium
Current Grades 4-8
Sign in to Google to save your progress. Learn more
Email *
Camper First Name  *
Camper Last Name  *
DOB *
MM
/
DD
/
YYYY
Camper's City *
Camper's State *
Camper's Zip Code *
Camper's Home Phone Number *
Campers Current Grade *
Campers Current School Name *
Parent First Name *
Parent Last Name *
Parent Email *
Emergency Contact Name *
Emergency Contact Number *
Emergency Contact Relationship *
List medications, allergies, or other medical conditions *
Signature (Type Name): I hereby authorize CBHS camp directors to act for me in their best judgement in any emergency requiring medical attention. I hereby waive any claim I might have against Camp Directors and Christian Brothers High School. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Christian Brothers High School. Report Abuse