Step Team Summer Camp Registration Form

Participant's Full Name

First NameLast Name

Grade

Guardian's Name

First NameLast Name

Relationship to Participant

Guardian's Cell Phone/Contact Number

Please enter a valid phone number.Format: (000) 000-0000.

Guardian's Email Address

example@example.com

Allergies, Medications, Physical limitation we need to be aware of?

How did you hear about this event?

Assumption of Risk/Release of Liability

By submitting this form, I acknowledge that:

I give my child permission to participate in the Step Team Summer Camp. I (parent), release and hold harmless, Red Oak ISD, and all employees and volunteers of this camp from and against any and all liability, injury sustained, damage to or loss of personal property arising directly or indirectly while enrolled in this camp. I also understand that the camp provides no medical insurance policy and that I should make sure my child is covered in the event of injury. I also give permission for any emergency medical care or treatment by a physician, surgeon, hospital or medical care facility that may be required, and accept responsibility for any cost thereof.

Participant's Signature

Registration

Includes: Instruction and snack

12:45 PM Registration

1:00 - 5:00 PM Clinic

$45

Subtotal

Tax

Total

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Step Team Summer Camp Registration Form

Registration*

Payment Methods

Registration