CAMP REGISTRATION
Participant name
Parent/Guardian E-Mail
Address
Date of Birth
T-shirt size (Adult men's XS, S, M, L, XL)
Emergency Contact Phone Number
Any restrictions on participation
Policy Number
Relationship to Participant
I accept JGSC release/waiver
Parent/Guardian name
Parent/Guardian Phone Number
City, State & Zip Code
Grade/Age
Name of School
Emergency Contact if different from above
Medical Insurance Company
Policy Holder's Name
Medical Doctor's Name & phone number
I accept VK release/waiver
I accept COVID-19 release/waiver
Thank you for registering!
Submit registration
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