Eagles Camp Registration Forms
PARKWAY CHRISTIAN SCHOOL SUMMER CAMP REGISTRATION FORM
HS Cheer Camp – Aug 3-6 - $315 Jr. Cheer Camp – Aug 7-10 - $75 Jr. Eagles Football Camp – June 19-22 - $75 HS Football – July 24-28 - $75 Boys Basketball Camp – June 26-29 - $75 Girls Basketball Camp – June 26-29 - $75
Participant’s Information
Volleyball – July 17 – 21 - $75 Jr. Eagles Soccer Coed– June 19-22 - $75 Eagles Soccer Girls– June 19–22 - $75 Eagles Soccer Boys – July 24-27 - $75 1 day Speed Camp - Various Dates- $20/day 4 day Speed Camp – July 31-Aug 3 - $80
Make checks payable to Parkway Christian School
Last Name:
First Name:
Gender: Female
Male
Age:
T-Shirt Size____________ Grade In Fall 2017:_________________
School: Home address: City: State/Province: Parent Cell:
Postal/Zip Code: Parent email:
Emergency contact:
Relationship:
Phone:
_________
Specify any of your child’s health problems: Is your child on any medication? No Yes If so, please specify: SIGNATURE OF PARENT OR GUARDIAN
DATE
For Daily Speed Camp a sign up sheet will be sent electronically for selection of days PARENT STATEMENT By allowing the listed child (“Participant”) to participate in this event I acknowledge and understand: There are certain inherent risks and dangers the child may encounter while traveling to, participating in, or returning from this event, that could result in injury (whether physical, mental, social, economic or emotional), death or some type of property loss. There may not be any or sufficient insurance provided by Bethesda Christian Church and/or Parkway Christian School (“Bethesda”) for any type of injury, property loss or other damages that may occur and I have signed this document without regard to whether Bethesda has insurance or maintains sufficient insurance for any type of claim, damage or loss. I agree to assume any and all risks and hazards of injury or loss arising out of or in the course of the listed event without regard to whether the risk or danger was reasonable and/or foreseeable by Bethesda. On behalf of any assignees, and myself, I release and hold Bethesda harmless from any and all liability and expense, including litigation costs and attorney fees arising out of any and all claims that I may have or later assert. In addition, I hereby waive all claims I may have against Bethesda, or any of its trustees, officers, employees, representatives, agents and volunteers (Bethesda affiliates). I shall hold harmless and indemnify Bethesda and Bethesda affiliates from any and all claims, liabilities and expenses arising out of claims brought by third parties in connection with any acts or omissions of the Participant. The laws of the State of Michigan shall govern this Agreement. I understand and acknowledge I have the option of not applying to allow the child to participate in the listed event, and of not becoming involved in the listed event if the terms and conditions listed above are not acceptable. I HAVE READ THE TERMS OF THIS AGREEMENT, UNDERSTOOD THIS DOCUMENT AND, BY SIGNING MY NAME, FREELY, FULLY AND VOLUNTARILY AGREE TO THE SAME AS BINDING UPON ME, MY HEIRS, NEXT OF KIN AND/OR PERSONAL REPRESENTATIVES. Dated this ____________ day of ___________________________, 20____ Parent/Legal Guardian Signature______________________________________________________________________________________
HS Cheer Camp – Aug 3-6 - $315 Jr. Cheer Camp – Aug 7-10 - $75 Jr. Eagles Football Camp – June 19-22 - $75 HS Football – July 24-28 - $75 Boys Basketball Camp – June 26-29 - $75 Girls Basketball Camp – June 26-29 - $75
Participant’s Information
Volleyball – July 17 – 21 - $75 Jr. Eagles Soccer Coed– June 19-22 - $75 Eagles Soccer Girls– June 19–22 - $75 Eagles Soccer Boys – July 24-27 - $75 1 day Speed Camp - Various Dates- $20/day 4 day Speed Camp – July 31-Aug 3 - $80
Make checks payable to Parkway Christian School
Last Name:
First Name:
Gender: Female
Male
Age:
T-Shirt Size____________ Grade In Fall 2017:_________________
School: Home address: City: State/Province: Parent Cell:
Postal/Zip Code: Parent email:
Emergency contact:
Relationship:
Phone:
_________
Specify any of your child’s health problems: Is your child on any medication? No Yes If so, please specify: SIGNATURE OF PARENT OR GUARDIAN
DATE
For Daily Speed Camp a sign up sheet will be sent electronically for selection of days PARENT STATEMENT By allowing the listed child (“Participant”) to participate in this event I acknowledge and understand: There are certain inherent risks and dangers the child may encounter while traveling to, participating in, or returning from this event, that could result in injury (whether physical, mental, social, economic or emotional), death or some type of property loss. There may not be any or sufficient insurance provided by Bethesda Christian Church and/or Parkway Christian School (“Bethesda”) for any type of injury, property loss or other damages that may occur and I have signed this document without regard to whether Bethesda has insurance or maintains sufficient insurance for any type of claim, damage or loss. I agree to assume any and all risks and hazards of injury or loss arising out of or in the course of the listed event without regard to whether the risk or danger was reasonable and/or foreseeable by Bethesda. On behalf of any assignees, and myself, I release and hold Bethesda harmless from any and all liability and expense, including litigation costs and attorney fees arising out of any and all claims that I may have or later assert. In addition, I hereby waive all claims I may have against Bethesda, or any of its trustees, officers, employees, representatives, agents and volunteers (Bethesda affiliates). I shall hold harmless and indemnify Bethesda and Bethesda affiliates from any and all claims, liabilities and expenses arising out of claims brought by third parties in connection with any acts or omissions of the Participant. The laws of the State of Michigan shall govern this Agreement. I understand and acknowledge I have the option of not applying to allow the child to participate in the listed event, and of not becoming involved in the listed event if the terms and conditions listed above are not acceptable. I HAVE READ THE TERMS OF THIS AGREEMENT, UNDERSTOOD THIS DOCUMENT AND, BY SIGNING MY NAME, FREELY, FULLY AND VOLUNTARILY AGREE TO THE SAME AS BINDING UPON ME, MY HEIRS, NEXT OF KIN AND/OR PERSONAL REPRESENTATIVES. Dated this ____________ day of ___________________________, 20____ Parent/Legal Guardian Signature______________________________________________________________________________________
