Sports Camp Registration Form

PFLOGOSM.JPG (22876 bytes)

Sports Camp Registration Form

Child’s Name________________________________

Child's Age___________

Parent’s Name_________________________________

Address______________________________________________________

City____________________________

State_____ Zip___________ Phone_______________

Emergency Contact #___________________

Email_____________________________________

Session: __ May 29-June 1 __ June 4-7 __June 18-21 __ July 23-26

T-shirt size:

Youth

Small ____ Med_____ Large______

Adult

Small ____ Med_____ Large______

RELEASE FORM

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

Parent’s Signature: _______________________ Date____________