page 1 of 3
Parent's Name:
*
Contact Phone:
*
Home Address:
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City:
*
State:
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Zip:
*
Parent's e-mail:
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page 2 of 3
Child #1
Name:
*
Age:
*
Grade:
*
Check camp(s) child will attend:
*
Basketball
Soccer
Volleyball
Child #2
Name:
Age:
Grade:
Check camp(s) child will attend:
Basketball
Soccer
Volleyball
Child #3
Name:
Age:
Grade:
Check camp(s) child will attend:
Basketball
Soccer
Volleyball
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page 3 of 3
Camp Waiver
I hereby represent that my registered children are in good health and may participate in rigorous physical activity, and I authorize Calvary Baptist Church to secure any emergency medical treatments necessary and waive and release Calvary Baptist Church, its agents and employees from any liability for any injuries or damages of any kind sustained by my children at Calvary's Summer Sports Camp. I further understand that the Calvary Baptist Church does NOT provide health insurance coverage for my children.
I have read and agree to the above Waiver
*
Yes
Parent's Initials:
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