Junior CTA Registration Form 2020
Please fill out separate forms if you are signing up multiple children.
Grades 2- 5
Please put your CHILD'S NAME in this section, not your own.
Participant's Last Name
Participant's First Name
Grade your child will be in next fall
Indicate session(s)- $100 for one, $175 for both
Session 1: June 8th - 26th
Session 2: July 6th - 23rd
Does your child have any medical conditions that may pose a risk to them at camp? If so, a separate email will be sent to you so we can further discuss your child's needs.
Emergency Contact Information
Parent/Guardian available during camp
Cell Phone Number
Participation and Image Use Waiver
I have read and understand the participation and image use waiver.
By entering your initials on the line below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
Payment of $100 or $175 will be made via...
Check made out to CK Running
How did you hear about CTA?
Heard from a friend
Summer Camp Open House
How many previous years have you attended Junior CTA?
A copy of your responses will be emailed to the address you provided.
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