Please list another person besides the parents/guardian previously filled, and list their contact and the relationship to the camper.

(12/26 - 12/29) For full day camp, please select one AM session and one PM session.

(1/2 - 1/5) For full day camp, please select one AM session and one PM session.

Please indicate:
1. Date/s for Drop-in
2. Full Day, AM or PM
3. Add-ons (Hot Lunch, Early Drop-off, Extended Care)

If none, put N/A

Throughout the camp, I agree to have my child photographed/video taken during the camp activities. I acknowledged that these images/videos may appear in future program brochures, flyers, email blasts, Facebook pages and other social media platforms of Table Tennis America.

I understand that the above-named camper is responsible for their items that are lost, stolen or damaged. 

I hereby give my approval for my child’s participation in any activities by Table Tennis America (TTA) during the camp. In exchange for the acceptance of my child’s candidacy by TTA, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless TTA, and all its representatives from any and all liability for injuries to my child arising out of traveling to, participating in, or returning from camp sessions. In case of injury, I hereby waive all claims against TTA including all coaches and affiliates, participants, sponsors, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including ping-pong. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

As parent and/or legal guardian of the named camper, I hereby authorize the diagnosis and treatment of my minor child by a qualified and licensed physician in the event of any medical emergency. The attending physician is hereby authorized to perform all medical or minor surgical procedures, X-rays and vaccinations for the named athlete. I understand that in the event of an emergency resulting from a serious illness, the need for major surgery, or a serious accidental injury, my primary care physician will do everything possible to contact me as soon as possible. This exemption is voluntarily granted solely for the purpose of authorizing emergency treatment in my absence to protect the life and limb of the designated minor child.

Calculate your total amount due and submit payment using one of the method listed. Full payment is required to secure your spot.