2017 Cross Country Team Sign-up Form

Grades 9-12 6:00-8:00 AM Grades 7-8 7:00-8:30 PM
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    PAYMENT METHODS

    If you use the link below to pay online, you MUST come back AND enter the online payment CONFIRMATION NUMBER and SUBMIT this form. If you do not come back and submit this form, you are not enrolled even if you have paid. https://raypeck12.revtrak.net/Summer-Camps/#/v/Cross-Country-188 IF NOT PAYING ONLINE: RETURN PAYMENT TO : RPHS (CAMP NAME) PO BOX 789 PECULIAR, MO 64078 PLEASE INCLUDE STUDENTS NAME AND CAMP NAME WITH PAYMENT

    In consideration of your acceptance of the application, I hereby release Ray-Pec Coaching Staff , District employees, and volunteer coaches from all claims on account of injuries which may be sustained by my child while attending summer camp. I understand that any camper who does not abide by camp rules may be dismissed from camp with no refund. In the event of illness or injury, I hereby give my consent for medical treatment and permission to the attending physician to hospitalize, secure proper treatment, and order injections, anesthesia or surgery. I will be responsible for any medical and or other charges in connection with my child’s attendance at this camp. I certify that my child is covered by the medical insurance policy above.
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