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| BHS 2017 CAMP REGISTRATION FORM|
Please mail a separate registration form for each camp (forms may be copied) along with separate checks to:
Bartlett High School
ATTN: Athletic Department-Camps
701 Schick Road
Bartlett, IL 60103
Make (separate) checks payable to Bartlett High School.
For additional Camp Information please contact the Camp directors.
Please send all mail-in registrations before 5/26/2017
After May 26th, registrations will be accepted by the Camp Director on the first day of camp.
►There is a $25.00 processing fee for refunds.
►No refunds will be given after the second day of camp.
►A full refund will be issued if a class is cancelled due to lack of enrollment or there is a documented illness or injury.
►There are no partial refunds or credits for absences.
STUDENT/ATHLETE’S NAME: ____________________________________________________
BIRTH DATE: _______/_________/__________
month date year
HOME PHONE NO.: ________________________ CELL NO.: ___________________________
E-MAIL ADDRESS: ______________________________________________________________
EMERGENCY CONTACT NAME: _________________________________ PHONE:_______________
CAMP NAME ATTENDING: _____________________________________________________
GRADE IN SCHOOL NEXT FALL: _________________________________AGE: ___________
INSURANCE COVERAGE/MEDICAL RELEASE
The undersigned parent/guardian hereby consents to the participation of the child named above in a BHS Summer Camp. The undersigned parent/guardian further agrees to indemnify and hold district U-46 and its officers, agents and employees harmless from any and all medical claims, losses, damages which may arise out of injury of loss to the child of the undersigned named above, while said child is in attendance at Bartlett High School Summer Camp. Furthermore, said child is NOT insured by School district U-46. All Athletes must be covered under parents’ insurance in order to participate in camp.
Parent or Guardian Signature Date
There will not be a confirmation sent for camps, please plan on attending on the first day.