Sports Camp Registration Form

PFLOGOSM.JPG (22876 bytes)

Sports Camp Registration Form

Child’s Name________________________________

Age____ T-Shirt Size_____ __Adult __Youth

Parent’s Name_________________________________

Address______________________________________________________

City____________________________

State_____ Zip___________ Phone_______________

Emergency Contact #___________________

Email_____________________________________

Session: __ June 16-19 __ July 14-17 __August 4-7

RELEASE FORM

Pine Forest Country Club is not responsible for any accidents or injuries incurred while participating in this Summer Camp.

Parent’s Signature: _______________________ Date____________