Summer C.A.M.P. Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete in order to register!

Participants Name *

Participants Age *

Parent/Guardian's Email *

Confirm Parent/Guardian's Email *

Parent/Guardian's Phone number *

Do you grant permission to LAHC to use photographs and/or video of your child taken during the LAHC Fitness classes for promotional content for LAHC?

Yes

Clear selection

I understand that my child will be participating in light exercise. I understand the nature of the proposed activities and hereby assume any and all risks associated with those activities. By signing below, I release any claims, damages and liabilities arising from or related to my participation in this class. I acknowledge that LAHC–Leaders Advancing & Helping Communities does not provide health and accident insurance for Healthy Living program participants. I have carefully read this agreement and fully understand its contents. I am aware that signing this agreement constitutes a release of liability and I sign it of my own free will. [Type name below to sign]. *

Is this your first C.A.M.P. session?

Yes

Clear selection

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms