Precision Auxiliary Summer Camp Registration Form 2022

  • Precision Auxiliary Corp Registration Form

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  • Date: June 13-17, 2022

    Time: 8:00 AM -4:00 PM 

    Location: Hapeville Charter Career Academy 

    6045 Buffington Rd, Atlanta GA 30349

    End of Camp Performance Friday @ 3:00 pm.

    Also, for those Available, there will be a Saturday Performance, The Juneteenth Parade in Atlanta.

  • Camper Information

  • Date of Birth
     - -
  • Format: (000) 000-0000.
  • T-shirt size

  • Medical Information

  • All Students are ask to bring a mask as we will practice social distancing.

  • Parent/Guardian Details

  • Format: (000) 000-0000.

  • Emergency Contact Details

    If parent/guardian cannot be reached.
  • Format: (000) 000-0000.

  • Payment Details

  • Deposit- $25 (Due Asap to hold your Spot)

    Camp Fee: $125 (Due June 10)

  • Payment Method

  • Acknowledgment, Authorization, and Waiver

  • This camper has my authorization to engage in the activities of the Precision Auxiliary Corp Camp program. I allow taking photography of this camper that can be used for Camp PAC portfolio or advertising. I authorized PAC Camp to apply judgment in regards to medical assistance in the event of an accident, injury, or illness if they are unable to contact the parent/guardian. I allow them to apply first aid, medical or surgical diagnosis and treatment as necessary. I allow PAC Camp to provide or administer the medication or supervise in self-administration. I release PAC Camp and any of its coaches, staff, and manager for any responsibility in case of accident, illness, or injury during this camper's enrollment.

  • Date Signed
     - -

  • Precision Auxiliary Corp  / Tanetta Carter- 678-643-4942/ 6045 Buffington Rd Atlanta Ga 30349  www.PrecisionPearls.com  PrecisionPearls09@gmail.com

    IG-PrecisionAcAtl / FaceBook-PrecisionAuxiliary Corps

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