Annah's Little Indian Cheer Camp Registration June 14-17 6:00-8:00 pm

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Please do not send a child who is not feeling well to camp.

I am the parent or guardian of the child I am registering, am over 18 years of age and legally qualified to fill out this information. *

Yes

Camper's Last Name *

Camper's First Name *

Camper's Age on June 1, 2021 *

Camper's Grade for the 2021-2022 School Year *

Pre- K

Kindergarten

1st grade

2nd grade

3rd grade

4th grade

5th grade

6th grade

7th grade

8th grade

Pre School, but not Pre K

Other:

Required

Camper T-shirt Size *

Youth XS

Youth S

Youth M

Youth L

Adult S

Adult M

Adult L

Adult XL

Adult XXL

Parent Name(s) *

Parent Phone Number #1 *

Parent Phone Number #2 *

Additional Contact Name and Number in case of emergency *

Parent Email *

I certify that my child is physically fit to participate in the LCHS Little Indians Cheer Camp. I am aware of the inherent risks of participation in this physical activity, and I further state that LCHS will not be held liable for accident or injury. I give permission for the camp officials to seek medical assistance as deemed necessary and accept responsibility of said services. My agreement below acts as my signature. *

I agree to the terms of the waiver for liability.

I disagree to the terms of the waiver of liability.

Dietary restrictions and/or allergies? *

Allergies

None

Other:

Plan for payment. Please reference name of camper with payment. $75 per camper. $60 each for siblings. *

Check to LCHS Cheer Boosters mailed to LCHS Cheer C/O Cindy Hunsinger 2001 Indian Drive Dahlonega, GA 30533

Pay Pal. PayPal.Me/lchscheerboosters1

Cash to be dropped off in the front office of LCHS to Cindy Hunsinger's Attention

LCHS Cheerleader who invited me to camp.

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