Archbishop Ryan High School

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Archbishop Ryan High School
2024 Girls Flag Football Camp

June 24-27, 2024
6:30 - 8:30pm

Campers: Girls in 4th Grade and up.. (as of September 2024)
Cost: $75/Camper

Qty

Description

Amount

Total

Girl's Flag Football Camp

$75.00

Girl's Flag Football Camp - Siblings

$75.00

---

Total: $75.00

Camper Information

Camper #1

First Name: *

Last Name: *

Middle Initial:

Birth Date: *

Age: *

Grade entering in September: *

Current School: *

MEDICAL WAIVER AND INSURANCE INFORMATION

Medical Waiver: *

I/We the parents/guardians of above student, state that he/she is in good health and has my permission to participate in the Archbishop Ryan Summer Camps. I authorize the staff at the camp to provide emergency first aid in the event of sickness or injury. I also give my permission for the teacher/coach/staff member to sign for me in the event that emergency treatment, hospitalization, and/or surgery is required. I understand I am financially responsible for any medical bills incurred by my child while at the Archbishop Ryan Summer Camps.

Liability Release: *

I/We hereby release camp directors, organizers, teachers, staff members, coaches, workers, Archbishop Ryan High School, and any agents, volunteers, or employees of the above from any and all liability and any manner of actions, suits, damages, claims, and demands arising from participation in the camp.

Medical Conditions:

Please list any medical conditions the camp workers/volunteers should be aware of.

Medical Insurance Company: *

Policy Number: *

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *