CHEER CAMP

Camper Name

LIST OF ALL WHO CAN PICK THE CHILD UP

CHEER CAMP

MEMBER RATE ($70.00)
IF YOU ARE NOT A MEMBER YOU WILL ASKED TO PAY THE ADDITIONAL FEE UPON ARRIVAL.
NON-MEMBER RATE ($85.00)

Date of Birth

List of any allergies or medical problems we need to be aware of. Please list plan of procedure.

MEMBER NUMBER IF NOT A MEMBER JUST TYPE N/A

Gender

Male
Female

A signed waiver by this registrant will be required before you can download your QR code. A link to obtain waivers for all registrants will be shown on the confirmation page.

You child cannot attend until all the blank lines are filled in.

Parent/Guardian Name

Phone Number

Address

MEMBER ID

Emergency Contact

Emergency Contact Number

Give the gift of registration with a voucher for a friend

Amount$

Recipient Email

We will send an email with the voucher code.

Add Voucher

Convenience Fee

$0.00

Running Total

$0.00

coupon Code

Total

$0.00

Event Registration Software by RegFox

PARENT / GUARDIAN INFORMATION

Give the gift of registration with a voucher for a friend