Raven Golf Camp Registration Form
Camp will be held June 15th-18th at Smiley's...
- Grades 3rd-6th 10:30-12:00
- Grades 7th-12th 12:30-2:30
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Last Name *
First Name *
Email Address *
Home Number *
Cell Number *
2020-2021 Grade *
T-Shirt Size *
WAIVER STATEMENT: The undersigned states that He/She understands that the High School Summer Camp run by Mike Grove is not and shall not be responsible for or liable for any illness, or injury to person or damage to property resulting from participating in said program, and the participant and the undersigned, if the participant is a minor or under legal disability, hereby forever release and holds harmless the said High School Summer Camp, its employees, agents and representatives from any and all claims of any kind that the participant, or the undersigned or their respective heirs, executors, administrators, or assigns may have or claim to have resulting from participating in said program.
Please type your name (parent/guardian if under 18) in the box below. This will represent your signature reflecting your acknowledgement and acceptance of the above statement. If a name is not included, registration is not complete. *
Please send a $75 check made payable to Coach Mike Grove to the following address: 21300 College Boulevard, Olathe, Kansas 66061
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