This camp is designed for girls entering 1st through 8th grades

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Please indicate any special medical or physical conditions. ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ My Daughter, ______________________________, has my permission to participate in the cheerleading camp. I understand that the coaches, instructors, and Kettle Moraine Lutheran High School will not be held responsible for injuries in case of an accident. I also understand that the camp and the school do NOT provide insurance and we are responsible for providing our own insurance. You will not receive a confirmation notice of the camp. No refunds will be given if you cancel camp attendance, except with a doctor’s note for illness or injury. ___________________________________________________ Signature of parent or guardian Date Please contact Amy Nass at 262-677-4051 ext 1103 or [email protected] for more information.

June 7-9, 2017

Kettle Moraine Lutheran High School Cheerleading Camp Registration Form PLEASE USE ONE PER CAMPER You may use this form or the one provided by KML. Name: ____________________________________________ Address: ___________________________________________

This camp is designed for girls entering 1st-8th grade in the fall of 2017. The cheerleaders will be divided into three groups: 1st-3rd grades, 4-5th grades and 6-8th grades. Each group will work at their skill level. All cheerleading skills will be taught including cheers, jumps, stunts, dance, and tumbling. During the week there will be theme days, team building games, and spirit awards.

City: ______________________________ Zip: ____________ Home Phone: _______________________________________ Day Time Phone: ____________________________________ Email: _____________________________________________ Grade School: __________________ Grade in 2017-18: _____ Wednesday, June 7-Friday, June 9 Grades 1st-8th 1:00-4:00pm Fee $45 T-Shirt Size: Youth: Adult:

On the last day of camp there will be a performance for parents and an awards ceremony. Awards will be given in each level. Each camper will receive a free camp T-shirt, snacks, instruction and participation ribbon.

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Make Checks Payable to KMLHS and mail to: KMLHS

C/O Amy Nass

3399 Division Road Jackson, WI 53037

CAMP DEADLINE IS MAY 26 Late registrations will be accepted, but a t-shirt cannot be guaranteed after the deadline