Self Defense Camp Registration Template 2025
  • Self Defense Camp Registration Form

  • Venue: 20715 Milton Ellendale Hwy

               Ellendale, DE 19941

    Date: Week 1    June 23-27,2025

             Week 2    July 7-11,2025

             Week 3    August 11-15,2025

    Time: 9:00 AM- 12:00 PM

  • Camper Information

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  • Parent or Guardian Information

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  • Medical and Insurance Information

  • Emergency Information

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  • Acknowledgement, Liability Waiver & Consent

  • I, the undersigned parent/guardian of the above camper understands that gymnastics is an active, physical sport and that injuries might happen. Any activity involving motion or height creates the possibility of serious injury, including permanent paralysis and even death from landing
    or falling the head or neck.

    I, the undersigned, do hereby grant the authority to the staff of [Organization Name] 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 or guardian. I authorize first aid, a medical or surgical diagnosis and treatment which may deem necessary.

    I, the undersigned, release [Organization Name] and any of its coaches, staff, manager, and/or any parent for any responsibility in case of accident, illness, or injury during my child’s enrollment.

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  • Payment Information

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