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~ 2023 CHICO HS PANTHER" Camp Info ~
Date
:
June 5-8
Time
:
8:30am-12pm
&
Tues 6:30pm-8:30pm
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Email
*
Your email
Athletes First Name:
*
Your answer
Athletes Last Name:
*
Your answer
Athletes Grade (in the Fall)
*
9th Grade
10th Grade
11th Grade
12th Grade
Athletes Cell Phone
*
Your answer
Athletes email address
Your answer
Parents/Guardians First and Last Name
*
Your answer
Home Phone Number or Parent/Guardians Phone.
*
Your answer
Cell Phone Number for Parent/Guardian
Your answer
Medical Insurance Company
*
Your answer
Policy #
*
Your answer
Medical Conditions we should be aware of? (please list any conditions, allergies, etc ... that we should be aware of)
*
Your answer
Shirt Size
*
XS
S
M
L
XL
XXL
Do you have your "Chico Unified School District CAMP Waiver" Turned in? (You need to in order to participate in camp)
*
Yes
No
Don't Know
How will you be paying for Camp? ($100)
By Check and sent in the Mail
On First Day of Camp
Cash on First Day of Camp at Check-In
Other:
Clear selection
I hereby authorize the staff of CHICO PANTHER Volleyball Camp to act according to their best judgement in any emergency requiring medical attention and I hereby waive and release the camp from any and all liability for injuries or illnesses incurred while at camp.
*
Yes, I agree
No, disagree
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