Cosmetology Registration Form

Cosmetology Camp Registration Form
Camper's Name *

First Name Last Name
Birth Date *

Month Day Year
Grade *
What school does your child attend? *
Gender *

Male Female
What size T shirt does your child wear? (please specify youth or adult) *
Has your child participated in a prior Camp25 event? *

YES NO
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian Information
Name *

First Name Last Name
Cell Number *
E-mail *
example@example.com
Emergency Information
Emergency Contact's Name *

First Name Last Name
Relationship *
Phone Number *
Informed Consent and Acknowledgement

I understand that I have registered my child to participate in Camp25 activities, Inc. programming and grant permission for her/him to do so, despite the possible risks, including any and all risks associated with a pandemic or COVID. I recognize that participating in this activity, as with any activity involving various types of physical activity my child may risk personal injury or permanent loss. I hereby attest and verify that I have been advised of the potential risks, that I have full knowledge of the risks involved in this activity, and that I assume any and all responsibilities and expenses that may be incurred in the event of an accident, illness, or other incapacity, regardless of whether I have authorized such expenses. I further release and indemnify Camp25, and Debs Hair Studio and all volunteers and agents of each of all responsibilities to include any expenses regarding care should my child get injured. I further give permission for my child's photo to be posted on Camp25 and other social medias and websites for promotion of the organization.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Signature *

Clear

My Products *
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Cosmetology Camp $25.00 - Camp Registration Fee $3.00 - Processing Fee
$ 28.00

Total

$ 0.00
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Cosmetology Camp Registration Form