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Child's First Name
Child's Last Name
Parent's Email
Child(ren) Age
Parent's Name and Contact Number
Child's Birthday
1: Venmo/Bmccluster 2: Cash Payment at camp! Please enter your option...
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Liability Waiver
Child's First Name
Child's Last Name
Email
Date of Birth
Do you have a doctor’s permit to participate in intense physical activities?
No
Yes
Please specify anything we should know about
Initials
I declare that the info I’ve provided is accurate & complete
I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.
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