Peace Sports and Arts Camp Basketball Sign-Ups

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FIRST NAME *

LAST NAME *

T-SHIRT SIZE *

YXS

YXL

SMALL

MEDIUM

LARGE

GRADE JUST COMPLETED *

KINDERGARTEN

FIRST

SECOND

THIRD

FOURTH

FIFTH

PARENTS CELL PHONE *

PARENTS EMAIL ADDRESS *

I GIVE PERMISSION FOR MY CHILD TO PARTICIPATE IN PEACE CHURCH'S SPORTS AND ARTS CAMP ON JULY 29-31 IF MY CHILD IS FEELING SICK OR HAS BEEN AROUND SOMEONE WHO IS SICK, I WILL KEEP THEM HOME. I HEREBY AGREE, PEACE CHURCH IS NOT LIABLE FOR ANY INJURY OR ILLNESS THAT COULD HAPPEN ON OR BECAUSE OF THIS TRIP. I ALSO GIVE PERMISSION FOR ANY LICENSED MEDICAL TECHNICIAN TO ADMINISTER MEDICAL ASSISTANCE TO MY TEEN(S) IN CASE OF INJURY. I ALSO ACCEPT ALL FINANCIAL LIABILITY FOR MEDICAL CHARGES MY CHILD MAY INCUR OR ANY DAMAGES MY CHILD MAY CAUSE WHILE ON THIS TRIP. PLEASE SIGN YOUR NAME BELOW. *

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