Sports Camp Registration Form
5 Tool Athletics
Athlete Information
How many athletes are you signing up?
*
Please Select
1
2
3
4
5
6
7
Athlete 1
*
Athlete 2
*
Athlete 3
*
Athlete 4
*
Athlete 5
*
Athlete 6
*
Athlete 7
*
Parent/Guardian
*
First/Last Name
Address
*
Street Address
Street Address L
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Emergency Contact & Health Insurance Information
Emergency Contact Name
*
First/Last Name
Relationship
*
Please Select
Mother
Father
Aunt
Uncle
Grandma
Grandpa
Babysitter/Nanny
Other
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have health insurence?
*
Yes
No
Name of Physician / Emergency Medical Care Facility
*
Does your camper have any allergies, chronic illness, or medical conditions that would limit high level activtiy?
*
Yes
No
If "Yes" was checked above; please specify for which Camper you signed up and any helpful information we would need to know for your Campers safety.
Parental Permission For Emergency Treatment
In the event of illness or accident, I give my permission for emergency treatment by qualified medical personnel for my child, and I authorize the person in charge to take my child to: I give consent for the facility to secure any and all necessary emergency medical care for my child.
*
Yes
No
Release of Liability
I herby authorize the release of my child/children's pertinent medical information to the appropriate professional staff. I give permission to the physician or hospital to secure treatment for him/her and to order medications, injections, anesthesia, or surgery for my child, as named above in case of an emergency. The checking of the box below constitutes authorization to perform any necessary treatment for my child during this camp
*
Yes
No
Enter full name as Parent/Guardian Authorization Signature
*
Please indicate whether it's acceptable to capture photos or film this individual for sharing on our social media platforms by checking the appropriate box.
*
Yes
No
This year, we are accepting payments ONLY in cash or check. Please bring your payment, enclosed in an envelope with your name and the respective camp noted, on the first day of the camp. You can drop it off at the registration table or deliver it to the Redding Christian School office. Checks must be made out to "Kole Skinner"
*
Check Delivered Day of Camp
Cash Delivered Day of Camp
Check Delivered to RCS Office
Cash Delivered to RCS Office
Name of other campers your athlete would like to be on a team with:
Conformation Email
*
example@example.com
Submit
Should be Empty: