Boys baseball -devin Rosen ()
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 BHS 2017 CAMP REGISTRATION FORMPlease 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. REFUND POLICY: ►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 ADDRESS: ______________________________________________________________________ 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. |
