WNGS 2017 KIDS camp

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Sign here___________________________

The camp sponsors do not provide medical or dental insurance for students injured in camp activities. We, the undersigned, do have insurance and accept full responsibility for any and all medical and/or dental expenses resulting from any injury which he/she may suffer while taking part in the camp.

We, the undersigned, understand that this camp is not a school activity. In addition, we hereby state that we are aware that participation in all sports requires an acceptance of risk of possible injury. In giving our consent for our son/daughter to participate, we are aware that the risk of injury may be severe including risk of fractures, brain injuries, paralysis, or other severe complications. Additionally, we agree not to hold the Westerville City School District liable for any injury incurred by our son/daughter while in attendance at the camp.

Please Read and Sign Below

Please Complete, Detach, and Mail to: (checks payable to) WNABC 6179 Crystal Valley Drive Galena, Oh 43021

2nd Sibling- $40, 3rd-$30, 4th-$20

Camp Fee: $ 50 per camper

Email address______________________

Contact Phone ____________________

Camp Registration Name________________________ Age________ Grade_________

For Boys and Girls grades K-8

June 12-15 6pm-8pm

at Jim McCann Stadium, Westerville North High School

***Please Bring your own Water Bottle, Ball, and Shinguards to camp. Make sure you put your name on everything!***

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