Squeaky Squad Hiking Club
Squeaky Boots LLC
Parent/Guardian (Primary person of contact)
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Primary Phone Number
*
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Secondary person of contact:
*
First Name
Last Name
Secondary phone number:
*
Please enter a valid phone number.
Child/Club Member
*
First Name
Last Name
Preferred pronouns (For example: she/her, he/him, they/them, she/them, he/them, etc...)
*
Grade Level
4th Grade
5th Grade
6th Grade
T-shirt Size
*
Please Select
YS
YM
YL
Adult S
Adult M
Adult L
Adult XL
Please list any medical and/or dietary needs and/or allergies your camper has. Type N/A if none.
*
PHOTO/VIDEO/STATEMENT RELEASE FORM: I grant permission to Squeaky Boots LLC and its employees the irrevocable and unrestricted right to produce photographs and video taken of my child while at Squeaky Boots LLC's Hiking Camp for any lawful purpose including publication, promotion, illustration, advertising, trade, or historical archive in any manner or in any medium. I hereby release Squeaky Boots LLC and its legal representatives from the liability for any violation or claims relating to said images or videos. Furthermore, I grant permission to use the statements of my child given during an interview with or without the name for the purpose of advertising and publicity without restriction to time limit or geographic area. I waive my right or my child’s right to any and all compensation stemming from the use of these materials.
*
Yes
No
PHOTO/VIDEO/STATEMENT RELEASE SIGNATURE (if marked "no" please leave this section blank)
I have read and agree with Squeaky Boots LLC's Liability Waiver and Child Abuse Protocols.
*
Choose your club day:
*
PERMISSION SLIP
NOTE: Permission slips can be turned in here or given to Ms. Worth (5th grade) at Normal Park. They can also be placed in her mailbox in the office. They must be turned in by August 20, 2024!
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Where did you hear about Squeaky Squad hiking club?
*
Word of Mouth
Facebook
Instagram
Flyer Posted
My child's school
Search Engine
Other
Interested in a payment plan?
Send us an email at squeakybootsllc@gmail.com to enquire about our payment options.
My Products
prev
next
( X )
Squeaky Squad 2024 Hiking Club
Walking to Stringer's Ridge with club leader from Normal Park Museum Magnet Upper School (3:15 PM - 5:15 PM)
$
200.00
Payment Plan
I have contacted Squeaky Boots and recieved confirmation on a payment plan option.
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Save
Submit
Submit
Should be Empty: