Junior Highlanders Participation Form

ONE FORM PER CHILD IS TO BE COMPLETED BY THE PARENT OR GUARDIAN UPON READING THE PARENT HANDBOOK AND SUBMITTED PRIOR TO THE START OF THE CAMP.

1Participation Form > 2Medical Information > 3Sign-Out Authorization > 4Release/Waiver/Code of Conduct
Today's Date / MM / DD YYYY
Program/Camp Name: *
Child's Name * First Last
Date of Birth: * / MM / DD YYYY
Height *
Weight (lbs) *
Age *
T-Shirt Size
Soccer ball size (for soccer camps only)
Parent/Guardian's Name * First Last
Relationship *
Email Address
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home/Cell Phone * - ### - ### ####
Work Phone - ### - ### ####