2019 Milton Cheerleading Mini-Camp Registration
Camper's Last Name *
Your answer
Camper's First Name *
Your answer
Camper's Date of Birth *
MM
/
DD
/
YYYY
Camper's Age *
Current Grade (2018- 2019 School Year) *
*
Required
Best E-mail Address for ALL Camp Correspondence *
Your answer
Mother's Name *
Your answer
Mother's Contact Number *
Your answer
Mother's Address *
Your answer
Father's Name *
Your answer
Father's Contact Number *
Your answer
Father's Address *
Your answer
Other Emergency Contact Name *
Your answer
Other Emergency Contact Number *
Your answer
Insurance Provider *
Your answer
Insurance Group Number *
Your answer
Insurance Company Phone Number *
Your answer
Any Allergies? *
Your answer
Are you coming with a friend? If so, who?
Your answer
I will not hold Fulton County Board of Education, Milton High School, Milton Cheerleading Camp or the Coaches and Cheerleaders responsible for any illness or injury to my child. This will also certify that I have insurance to cover any injury that might occur during participation and/or travel to camp. I also give Milton High School Cheerleaders permission to take pictures of my child during camp and use them for High School publications/publicity. * *
Required
Date *
MM
/
DD
/
YYYY
Parent Signature (enter name) *
Your answer
PayPal Account Name *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy