PR Youth Camp Registration
Please complete this form once for every child in grades 8 and under participating in a Pine River summer camp.
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Email *
Student First Name *
Student Last Name *
Student Grade (in Fall) *
Student Shirt Size *
Parent Name *
Emergency contact phone number *
Waiver Acknowledgement:
By selecting "I AGREE," I grant permission for my student to participate in these activities. I understand that the chance of injury is possible when participating in physical activity. I acknowledge that Pine River Area School or any members of the staff are not liable for any injuries that may take place. I also grant permission for the staff to allow medical treatment in the event of an emergency.
 *
Required
CAMP SELECTIONS
$30 FOR FIRST CAMP AND A T SHIRT
$20 FOR EACH ADDITIONAL CAMP
See flyer link in the description for dates and times.
 *
Required
Please submit student name and payment to:

PINE RIVER ATHLETICS

17445 PINE RIVER SCHOOL RD

LEROY, MI 49655


 *
A copy of your responses will be emailed to the address you provided.
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