![]() ![]() ![]() |
||
|
Registration choose site: Los Altos__________ Homestead_________ Instructions: Print and complete this page, or download a PDF version of this form Camper Information
Parent Information
Emergency Contact Information (other than parents)
Please indicate week(s), as well as any extended care hours that you are registering for:
July 21 - July 25 Half Day Program available upon special request - contact Monica Lodge at 650-298-9740 or monica_lodge@sbcglobal.net
* Golden Eagle Sports Camp will be closed July 4 th * Please sign the waiver on back and indicate children's t-shirt size. Please circle one: WAIVER OF LIABILITY AND DISCLAIMER To induce the Golden Eagle Sports Camp to accept registration and permit participation in Golden Eagle Sports Camp by the named individual(s), we, the parents or guardians of said individual(s), hereby give our consent and agree to release and hold harmless Mountain View-Los Altos UHSD, Fremont UHSD, Golden Eagle Sports Camp and its coaches from any claim arising out of injury to named individual(s). We also give permission to obtain available medical treatment in case the parent ./guardian cannot be reached. Legal Authorization for Emergency Care and acknowledgment of Disclaimer: Name of participants: __________________________________________________________
Signature of Parent/Guardian_________________________ Date :_________________
Please make checks payable to: Golden Eagle Sports Camp Employee ID Number: 77-0287218 |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||