WHS CHEERLEADING 2019 KIDS CAMP
JANUARY 28th, 2019 • 10:00 – 2:00 • WHS CAFETERIA • GRADES K-8

REGISTRATION:
*Cost: $35.00 per student
*Walk-in registrations the day of the camp are welcome!
*If you would prefer to pre-register please complete this form
*Payment will be due the day of the camp at check in
*Please make checks payable to: “Westview Cheerleading”

LUNCH:
*Please Pack a Water Bottle & Peanut Free Lunch for your Camper

PERFORMANCES:
*Friend & Family Performance: Monday, January 28th @ 1:30 in the Cafeteria
*Game Performance: Tuesday, January 29th @ Halftime of the Varsity Basketball Game
*Game Performance details will be available at the Kids Camp

FREE T-SHIRT:
*All Participants get a FREE Westview Cheer T-shirt!

Participant's Name *
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Participant's Gender *
Participant's Birthday *
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Current School *
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Current Grade *
Student ID Number *
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Parent Name *
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Parent Cell Phone *
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Parent Work/Home Phone
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Parent Email *
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Emergency Contact Name *
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Emergency Contact Phone *
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Health Insurance Provider *
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Policy Number
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Group Number
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Physician's Name
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Physician's Phone
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Allergies, medical conditions, etc that we should know about:
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MEDICAL WAIVER: I, the parent/guardian of the above-named student, grant permission to the supervising Staff or Coach to authorize necessary medical services in an emergency, including injections, anesthesia, surgery, and medication, if I cannot be contacted at the telephone numbers shown below, and I agree to be responsible for any expenses not covered by home insurance that may be incurred as a result of an accident or medical emergency involving the above-named student. *
HOLD HARMLESS: I, agree to release from liability, to defend, indemnify and hold harmless the Beaverton School District, its employees, school board members, volunteers and agents from all claims, unless the claim is based on the willful misconduct of the school district. I affirm that I have carefully read and understand this agreement and all its terms. *
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