Summer 2020
Please fill out one form for each camper and click submit.
Name of Camper *
Your answer
Age of camper as of June 1, 2020 *
Sessions / Weeks Attending *
Please check off each session that camper(s) will be attending.
Required
Address: City, State, Zip Code *
Your answer
Parent's Name(s) *
Your answer
Cell Phone # *
Your answer
Home Phone #
Your answer
Email Address *
Your answer
Emergency Contact Name & Relationship *
Your answer
Emergency Contact Phone # *
Your answer
Medical Information: Special medications / relevant information
Your answer
Allergies
Your answer
I authorize all medical and surgical treatment and other medical and/or hospital procedures as may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in the case of an emergency. *
I give permission for my child to go on field trips. I release MJ Sports Camp and individuals from liability in case of accident during activities related to MJ Sports Camp, as long as normal safety procedures have been taken. *
Notes:
Your answer
Group Code
Your answer
Please type in name to electronically sign this form *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy