All Skills Cheer Camp

All Skills Cheer Camp

Registration Form
Date: August 12-14, 2026
Time: 9:00 AM - 12 PM
Location: Mazama High School - Cafeteria
3009 Summers Lane Klamath Falls, Or. 97603

Notes:
-Attire: Tee shirt, shorts and comfortable shoes
-Bring a water bottle
Camper Information
Camper Name

First NameLast Name
Age
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gender
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Name
Grade/Level
Medical Information
Please let us know if you have any allergies, existing illnesses or any medical conditions.
Are you currently taking any medication? If yes, please provide the generic name and its purpose?

Parent/Guardian Details
Parent/Guardian Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Details

If parent/guardian cannot be reached.
Contact Name

First NameLast Name
Phone Number

Area CodePhone Number

Payment Details
Camp Fee: $30
Payment Method
Signature
Acknowledgment, Authorization, and Waiver
This camper has my authorization to engage in the activities of the All SkillsCamp program.

I allow taking photography of this camper that can be used for All skills portfolio or advertising.

I authorized ABC Camp to apply judgment in regards to medical assistance in the event of an accident, injury, or illness if they are unable to contact the parent/guardian. I allow them to apply first aid, medical or surgical diagnosis and treatment as necessary.

I allow ABC Camp to provide or administer the medication or supervise in self-administration.

I release ABC Camp and any of its coaches, staff, and manager for any responsibility in case of accident, illness, or injury during this camper's enrollment.
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Signature
ALL SKILLS Cheer Camp
3009 Summers Lane KlamathFalls, Or. 97603
541-331-1354

For more information:

facebook:mazamacheerleading - Instagram:mazamacheergram
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