Camper Name

Grade Next Year

Age

Parent Name

Parent Email Address

Best Parent Contact Phone Number in case of Emergency during Camp

Secondary contact number

Any know allergies for camper

T-Shirt Size for Camper

CISD Camp Waiver: In order for your child to participate in the 2021 camp activities, it is necessary for you to sign this statement indicating your understanding that the district does not cover insurance covering injuries your child may sustain. By my signature, I am informing CISD that I understand that the district is not responsible for any accident or payments resulting from such an accident. In the event of injury to my child, I recognize that CISD, it's board of trustees, its agents, and its employees are in no way liable for injuries, medical expenses, or damage and will have no insurance covering my child without any inference from anyone serving or employed by CISD.

Liability: In the event of an emergency situation, I hereby authorize The Woodlands High School staff to obtain medical attention for my child. I hereby waive and release both the TWHSBC staff and CISD from any liability for the injury and/or illness that might occur while participating in the camp. I understand as an active participant in basketball than an accident or injury my occur.

Please type in your full name as a Signature

Today's Date:

Payment Method- Check one of the following. For mail in or drop off payments, they must be received by Friday, May 21st.