SCJCA Summer Camp Enrollment
Southern California Junior Cricket Academy (SCJCA)Sports | Education | Community
IMPORTANT NOTICE TO PARENTS & GUARDIANS
Please review carefully before completing this application: Registration is required to participate in all SCJCA camp events, where students must be between the ages of 5–17. Camp events will be held within the City of Compton, unless families are notified of field trips. Transportation is provided on a limited seating basis. A formal end-of-camp banquet will be hosted for registered participants. All SCJCA camp events are FREE.
Student Name:
*
First Name
Last Name
Date of Birth:
*
-
Month
-
Day
Year
Date
Gender
*
Female
Male
Prefer not to say
School or Group Name (if from another non-profit):
*
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SECTION 2: CAMP SELECTION
Which camp session are you registering for?
*
Summer/Fall
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SECTION 3: PARENT / GUARDIAN INFORMATION
Parent/Guardian Full Name:
*
First Name
Last Name
Relationship to Student:
*
Parent
Guardian
Other
Phone Number:
*
Email:
*
example@example.com
Home Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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SECTION 4: TRANSPORTATION (LIMITED SEATING)
Will your child require SCJCA-provided transportation?
*
Yes
No
Transportation Notice:Transportation is available on a limited basis and requires separate approval.Parents/guardians must email info@scjcacademy.org to request a transportation application and receive seating confirmation.Transportation is not guaranteed until confirmation is received from SCJCA.
*
Acknowledgment
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SECTION 5: MEDICAL & SAFETY INFORMATION
Does your child have any medical conditions, allergies, or special needs SCJCA should be aware of?
Emergency Contact Name:
First Name
Last Name
Emergency Contact Phone Number:
First Name
Last Name
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SECTION 6: PHOTO & MEDIA RELEASE:
You child may be photographed and/or recorded during SCJCA activities for promotional, educational, and marketing purposes.
*
Acknowledgement
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SECTION 7: PARENT ACKNOWLEDGMENT & CONSENT (REQUIRED)
Please review and check all that apply:
*
I confirm my child is between the ages of 5–17
I understand registration is required to participate
I understand camp events are held within the City of Compton, unless otherwise notified.
I understand transportation is limited and requires separate confirmation
I understand SCJCA camp events are FREE
I understand a formal end-of-camp banquet will be hosted for registered participants
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SECTION 8: ELECTRONIC SIGNATURE
Parent/Guardian Full Name (Electronic Signature)
*
Submit
Submit
Should be Empty: