Jun 3, 2016 - I hereby register my child for the ECCHS Cheerleading Youth Camp and authorize the staff to direct her in
The Elbert County High School Cheerleaders will be hosting a cheerleading camp for girls in grades Pre-K through 5 on June 13-15, 2016. The camp will be held from 2:00 pm to 5:00 pm at the High School gym. The cost of the camp is $50. Each camper will participate in cheer techniques, learn cheers and band chants, work on jumps and tumbling. Each participant will receive a t-shirt. A small cheer exhibition will be held on June 15 at 4:30, family and friends are invited to attend! Camper’s Name:________________________________________________________________ Parent’s Name:_________________________________________________________________ Address:______________________________________________________________________ Phone #:_________________________ Age:_______ Grade Completed:_________ T-shirt Size: ___________ (Please indicate youth or adult) Emergency Contact Information and Medical Information (allergies, etc.): ______________________________________________________________________________ Participation Waiver I hereby register my child for the ECCHS Cheerleading Youth Camp and authorize the staff to direct her in participation of camp activities. I know of no mental or physical problems that may affect his/her ability to safely participate in this camp. I authorize the staff to attend to any health problem or injury to my child that may occur while attending camp. I hereby release ECCHS, its employees, agents and assigns from any liability that may arise from my child’s participation in the camp. I acknowledge that I am responsible for any and all medical expenses, due to my child’s illness or any injuries that may occur at the camp. Parent/Guardian Signature________________________________________________ Insurance Company/Policy #______________________________________________ To register or for more information contact: Robin Goss Wood – Varsity Cheer Coach 2400 Hwy 145 Carnesville, GA 30521 706-206-7954
[email protected]
Please mail form and payment to Robin Wood at the address on the left or drop off at ECCHS Athletic Office or Sports Connection. Please make checks payable to ECCHS.
REGISTRATION DEADLINE:
June 3, 2016 Approved--CBell
