JANUARY 27th, 2020 • 10:00 – 2:00 • WHS CAFETERIA • GRADES K-8

*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”

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

*Friend & Family Performance: Monday, January 27th @ 1:30 in the Cafeteria
*Game Performance: Wednesday, January 29th @ Halftime of the Varsity Basketball Game
*Game Performance details will be available at the Kids Camp

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

* Required
Participant's Name *
Your answer
Participant's Gender *
Participant's Birthday *
Participant's Current School *
Your answer
Participant's Current Grade *
Student ID Number *
Your answer
Parent Name *
Your answer
Parent Cell Phone Number *
Your answer
Parent Work/Home Phone
Your answer
Parent Email *
Your answer
Emergency Contact's Name *
Your answer
Emergency Contact's Phone Number *
Your answer
Health Insurance Provider *
Your answer
Policy Number
Your answer
Group Number
Your answer
Physician's Name
Your answer
Physician's Phone Number
Your answer
Allergies, medical conditions, etc that we should know about:
Your answer
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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