Please enter your child's name *

Please enter the grade your child is entering with a number *

Please enter guardian(s) name(s) *

Please enter guardian(s) phone number(s) *

Please enter guardian(s) email(s) *

Please enter emergency contact name *

Please enter emergency contact phone number *

Please list athlete allergies staff should be aware of *

Please list athlete medical information staff should be aware of *

Please type/e-sign below that you have read and understand the following statement. I do hereby hold Homewood High School harmless for any/all injuries or damages arising from the above named child's participation in the camp activities and I do, for myself, my heirs, executors, and administrators, remise, release, wave, and forever discharge Homewood High School, and all of its officers, agents, and employees acting official and otherwise, from all claims, demands, actions or causes of actions, on account of any injury, death or property damage which may occur at any time or for any cause during their participation in the camp named above. I consent, release and fully understand the above statement. *

Please list the names of anyone allowed to pick up your athlete from camp *

Upload a file:

Max file size - 2MB