PCW Kids Summer Camp Registration Form

PCW Kids Summer Camp Registration

Please complete the form below to register your child for the 2025 PCW Kids Summer Camp. A confirmation email with next steps will be sent after submission.
Welcome to the PCW Kids Summer Camp — an exciting and empowering experience where kids step into the world of professional wrestling in a safe, family-friendly environment!

⏱️ This form takes about 5–7 minutes to complete. Please have your child's medical information and insurance card nearby.

Designed for youth ages 8–15, this week-long camp combines fitness, creativity, and teamwork through wrestling-themed activities that build confidence, character, and communication. Campers will learn basic wrestling movement, promo skills, entrance creation, teamwork drills, and more — all guided by experienced coaches and performers from Platinum Championship Wrestling.

Camp Details:

📅 Dates: June 15–19 & June 22–26 (Choose one or both weeks)

🕘 Time: 9:00 AM – 2:00 PM

📍 Location: 1500 Sigman Rd NW, Suite C, Conyers, GA 30012

💰 Cost: $150 for one week / $300 for both weeks

🎟️ Includes:

Daily training & activities

Free tickets to live PCW events during camp weeks

Camp T-shirt & Certificate

Lunch and Snack will be provided.

Parent Showcase performance on Friday, June 26

Campers will be grouped by age and skill level. No prior wrestling experience is required. Safety and positivity are our top priorities!

For questions, contact us at 404-927-4443 or info@platinumchampionshipwrestling.com.

Let your child become a champion this summer — inside and out! 🏆

Section 1: Camper Information
Camper Full Name

First NameLast Name
Date

MonthDayYear
Date
Age Group
T-shirt Size
Section 2: Parent/Guardian Contact
Parent/Guardian Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Section 3: Camp Session Selection
Which week(s) will your child attend?
Calculation
Section 4: Emergency Contact
Emergency Contact

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Camper
Section 5: Notes & Confirmations
Any additional notes, requests, or special considerations?
Parent/Guardian Signature
Date

MonthDayYear
Date

📝 PCW Kids Summer Camp – Parental Consent Form

This form grants permission for your child to participate in PCW’s Summer Camp and confirms your understanding of the activities, rules, and safety guidelines.
I hereby give permission for my child to attend and participate in the PCW Kids Summer Camp. I understand that my child will be participating in non-contact pro wrestling training activities including basic movement, agility drills, promo performance, and physical games. I understand the camp takes place at 3565 McDonough Hwy, Suite B, Conyers, GA 30013 from 9AM–2PM daily.

I acknowledge that I am responsible for providing transportation to and from the camp. I understand and agree to abide by the camp’s safety rules, pick-up policy, and behavioral expectations. I give consent for my child to receive reasonable first aid in case of minor injury and for emergency services to be called in a serious situation.
Consent Declined Message

You must agree to the terms above to register your child for PCW Kids Summer Camp. Please contact us at 404-927-4443 or info@platinumchampionshipwrestling.com if you have questions.
Please select one of the following:
Media & Photo Release
I give PCW permission to use photos or video of my child from camp activities for promotional purposes.
Signature
Date

MonthDayYear
Date

📝 PCW Kids Summer Camp – Liability Waiver & Release Form

Please read and sign the waiver below to allow your child to participate in all PCW Kids Camp activities. This form ensures we maintain a safe, transparent, and trusted environment.
I acknowledge that professional wrestling-themed activities include movement, obstacle drills, and physical games that may result in minor injuries such as scrapes, sprains, or bruises. I understand that PCW trainers and staff will take all reasonable precautions to ensure safety and that safety equipment and staff supervision will be present during activities. I waive, release, and discharge Platinum Championship Wrestling (PCW), its affiliates, staff, and instructors from any and all claims for liability, injury, or loss arising from my child’s participation in the camp. I certify that my child is in good health and able to participate in camp activities. I accept full responsibility for any medical expenses that may result from injuries sustained. I understand that this waiver applies to the full duration of the camp, including all scheduled days of attendance.
Emergency Medical Permission
I authorize PCW staff to seek emergency medical treatment for my child if I cannot be reached.
Signature

📝 PCW Kids Summer Camp – Medical Info & Emergency Contact Form

This form helps ensure the health and safety of all participants during the PCW Kids Summer Camp. Please provide accurate and up-to-date information.
Camper Full Name

First NameLast Name
Primary Care Physician Name
Physician’s Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Section 2: Medical Details
List any allergies (food, medications, insect stings, etc.)
No known allergies
List any medical conditions (asthma, diabetes, ADHD, seizures, etc.)
No known medical conditions
List any medications the camper is currently taking (include dosage & frequency)
No current medications
My child may be administered the following over-the-counter medications if needed:
Section 3: Emergency Contact Information
Emergency Contact Name (other than primary guardian)

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Camper
Section 4: Insurance Info (Optional but helpful)
Health Insurance Provider Name
Policy Number / Member ID
Section 5: Authorization & Signature
I certify that the above medical information is accurate and complete.
Signature

📝 PCW Kids Summer Camp – Media Release Form

Please complete this form to grant or decline permission for PCW to use your child’s photo, video, or likeness in promotional materials related to the Kids Summer Camp.
Name

First NameLast Name
Parent/Guardian Full Name

First NameLast Name
Email
example@example.com
Section 2: Consent (Choose One)
Please select one of the following:
Usage Understanding
I understand that PCW may use media for:
- Website or social media posts
- Event recaps and promotional flyers
- Future marketing materials (digital or print)
I acknowledge that no names will be listed without further explicit permission. I understand that I may revoke this consent at any time in writing.
Please select one of the following:

PCW Kids Summer Camp – Payment Authorization Form

Please use this form to authorize payment for your child’s participation in PCW’s Kids Summer Camp. Payment secures your child’s spot in the selected session(s). All information is kept secure and confidential.
Camper Full Name

First NameLast Name
Parent/Guardian Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Payment Email
example@example.com
Section 2: Payment Method
Payment Summary: Please review your selected session and total before completing payment. Week 1 only: $150 | Week 2 only: $150 | Both Weeks: $300

My Products

USDDescription

Payment Methods

Credit Card

Apple Pay

Google Pay

Should be Empty:

PCW Kids Summer Camp Registration

Section 1: Camper Information

Section 2: Parent/Guardian Contact

Section 3: Camp Session Selection

Section 4: Emergency Contact

Section 5: Notes & Confirmations

📝 PCW Kids Summer Camp – Parental Consent Form

Media & Photo Release

📝 PCW Kids Summer Camp – Liability Waiver & Release Form

Emergency Medical Permission

📝 PCW Kids Summer Camp – Medical Info & Emergency Contact Form

Section 2: Medical Details

Section 3: Emergency Contact Information

Section 4: Insurance Info (Optional but helpful)

Section 5: Authorization & Signature

📝 PCW Kids Summer Camp – Media Release Form

Section 2: Consent (Choose One)

Usage Understanding

PCW Kids Summer Camp – Payment Authorization Form

Section 2: Payment Method

My Products

Payment Methods

📝 PCW Kids Summer Camp – Parental Consent Form