2020 Camp Registration
Select Camp(s)
Camper(s) Name - add all participants names separated by commas *
Your answer
Camper(s) Date(s) of Birth - add all participants DOB separated by commas
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Camper(s) school(s) - add all participants schools separated by commas
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Camper(s) email(s) - add all participants emails separated by commas
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Camper(s) USA Wrestling Card Number (if participant has one) add all participant card numbers separated by commas
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Insurance Company, Name of Policy Holder, Policy Number
Your answer
Camper Social Media (Twitter, IG, Facebook, etc.)
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Shirt Size
Parents Name *
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Parents Cell Phone *
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Parents Email *
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Address, City, State, Zip
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Waiver: I verify that my child has been seen by a licensed physician and is physically able to participate in this camp. I hereby authorize the staff of the Kerry McCoy Camp to act for me, according to their best judgment in any medical emergency, while there is an attempt to contact me. I waive and release this camp from any liability, injuries or illness incurred while attending this camp. The camper shall use the facilities of Cape Henlopen HS at his/her own risk. Kerry McCoy, LLC, Cape Henlopen HS or any member of the camp staff shall not be liable for any damages. *
Required
Please provide specific written instructions for any special medical conditions that you deem necessary while participating in this camp.
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Parent/Guardian Digital Signature *
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Insurance Company, Name of Policy Holder, Policy Number *
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