Summer Camp Form

* Indicates required field

Child's Name *

First

Last

Child's Age *

Parent's Name *

First

Last

Phone Number *

Email *

Summer Camp Location *

Aberdeen June 20 - 24 and June 27 North HamptonJuly 25-29

Allergies, Food, Medical Requirements, & Parental Concerns *

Youth (under the age of 18): I (the Parent/Guardian), do hereby grant permission for my child(ren) (under the age of 18) to participate in the above program. Further, I agree to observe all the rules and regulations of Elite Amenities at all times. I am aware that my child(ren) will be in the pool. Elite Amenities employees or volunteers, will not be held responsible for any accidents or injuries occurring during swim lessons. Elite Amenities employees or volunteers, will not be held responsible for lost, damages, or stolen items. By signing this waiver I authorize the staff of Elite Amenities to provide first aid should my child(ren) get a minor injuring during swim lessons. I further authorize the staff to contact “911” prior to contacting me in the event of an emergency. (Parent/legal guardian will be contacted immediately after 911 is contacted.) *

Yes

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Summer Camp Form

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