2018 Summer Sports Camps Registration Form
Please submit one form per child. You can register each child for up to four camps.

Registration is not complete until payment has been received. Please mail checks to: Westside High School, c/o Kim De La Cruz, 8701 Pacific St., Omaha, NE 68114. Payments can also be dropped off in the Deans' office at Westside High School between the hours of 7:00am and 4:00pm. Payment must be received before the first day of camp.

Email address *
Student's Last Name *
Your answer
Student's First Name *
Your answer
Street Address *
Your answer
City *
Your answer
Zip *
Your answer
Home Phone Number *
Your answer
2018-19 Grade Level *
Gender
Parent 1 Name (First Last) *
Your answer
Parent 1 Address (if different from above)
Your answer
Parent 1 Cell Phone *
Your answer
Parent 1 Work Phone
Your answer
Parent 2 Name (First Last)
Your answer
Parent 2 Address (if different from above)
Your answer
Parent 2 Cell Phone
Your answer
Parent 2 Work Phone
Your answer
Additional Parent Email Addresses
Your answer
Emergency Contact *
Your answer
Emergency Contact Phone *
Your answer
Health Concerns
Your answer
Camp Selection *
*Includes t-shirt.
Additional Camp Selection (Optional)
*Includes t-shirt.
Additional Camp Selection (Optional)
*Includes t-shirt.
Additional Camp Selection (Optional)
*Includes t-shirt.
T-Shirt Size
Excludes Boys Basketball Team Camp & all Warrior Strength, Speed and Agility Camps.
Parent Electronic Signature *
Your answer
Signature Date *
MM
/
DD
/
YYYY
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