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Please use one form per camper. Print clearly.
Gender [ ] Male [ ] Female Grade Next Year _______________
[ ] Soccer (July 16-20) [ ] Basketball (July 23-27)
Camper Name______________________________________________________
Address___________________________________________________________
City___________________________________ St _______ Zip _____________
Home Phone___________________________________
Parent/Guardian Name_______________________________________________
Parent Work Phone __________________ Parent Cell Phone ________________
Emergency Contact Name____________________________________________
Emergency Contact Phone___________________________________
E-Mail ____________________________________________________________
Is there any medical conditions, allergies or other information we need to know about
your child? ________________________________________________________
T-Shirt Size: [ ] Youth Small [ ] Youth Medium [ ] Youth Large
[ ] Small [ ] Medium [ ] Large [ ] X-Large
I, the parent/guardian of the child named above, do hereby agree to allow my child to participate in the Crusader Camp. I understand that athletic activity and participation in said camp involves risks, including injury and/or death. I hereby release, hold harmless and discharge from all liability, and agree not to sue, Tacoma Baptist Schools, the Crusader Camps and its coaches, staff and volunteers, from participation in these activities and other related travel and activities. I also give TBS and the camp authorization for consent and to seek medical treatment in case I cannot be contacted. I also give TBS and the camp permission to use my child's photo at camp in future promotional brochures, posters, websites and other publicity.
Signature of Parent/Guardian_________________________________________
Date________________________________
Total Enclosed_________________________________________
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