2010 Summer Camp Registration
Participant First Name
*
Participant Last Name
*
Age Group
*
Please Select
Ages 5-8 (Entering 1st through 3rd Grade)
Ages 9-11 (Entering 3rd - 6th Grade)
Parent/ Guardian Names
Emergency Contact Number
*
Parent Email
*
T-shirt Size
Please Select
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
I hereby voluntary release and agree to hold harmless Prescott Youth Cheer (ie: Sheri Nelson) and the City of Prescott from any and all liability, claims, demands, actions, or rights of action, which are related to or are in any way connected with my child’s participation in this activity.
I agree to all statements above:
*
Yes, I agree to all statements made above.
Submit
Should be Empty: