• 2022 SCHOOL BREAK CAMP Enrollment Form

    Girls Day Camp: Located at 2974 Ask Kay Dr Smyrna
  • Camper's Information

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  • Parent/Guardian Information

    • The parents/guardian listed below will be the authorized person to pick-up the child after the camp.
    • The parents/guardian listed below will also be the primary emergency contact person.
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  • Medical Information


  • Payment Details

  • Authorization

    • I, the parent/guardian of this camper gives authority to the staff of this camp to apply judgment in regards to medical assistance in the event of an accident, injury, or illness if the emergency contact person cannot be reached. I authorized first aid, medical/surgical diagnosis, and treatment which may deem necessary.
    • I released the organizers, coaches, staff, or managers of this camp for any responsibility in case of accident, illness, or injury during my child's enrollment.
    • I confirm that all information given in this form is true, complete, and accurate.
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