Poms Summer Camp Registration
Camp dates are August 3rd-5th from 9 AM- 12 PM at Marlowe Middle School. Special performance for families will be August 5th at 11:30 AM.
In order to receive your tshirt, you must register and submit payment by July 5th! Please turn in your $50 cash or check to the main office at Marlowe Middle School. Checks can be written to the order of Marlowe Middle School.
Please email Coach Moran at
with any questions or concerns.
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Child's First and Last Name
Child's Current School (2020-2021 School Year)
Child's Current Grade (2020-2021 School Year)
Parent/Emergency Contact Phone Number:
Parent/Emergency Contact Email:
Tshirt Size: **PLEASE NOTE: Tshirts have been ordered on 7/7. After this date, a shirt can't be guaranteed. **
The child named above is in good health and has no physical or medical limitations that would cause the activities as described above to be detrimental or dangerous to the child. I hereby attest that I am (we are) the legal parent\guardian(s) of the above-named child and hereby consent to the child's participation in the activities described above. I understand that activities of the kind described above may result in physical injury to my child but nonetheless specifically request that he or she be allowed to participate in those activities.
I DO NOT consent.
Please list any medical conditions or allergies that coaches will need to be aware of during camp if any.
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This form was created inside of Huntley Community School District 158.