2021 Registration Form

file:///Users/ashleynolan/Downloads/2021%20Ohana%20Registration%20Form%20.pdf

 

 

2021 REGISTRATION FORM

 

OHANA SESSION: _______________________________________TODAYS DATE ____________________

                                         (Camp Dates / Private Lesson)

 

PARTICIPANT NAME_____________________________________________________AGE _____________ 

 

CAMP INFO (circle one):   FULL DAY    OR     ½ DAY           T-SHIRT SIZE   YS     YM     YL     AS     AM     AL     XL          

 

PARENT/GUARDIAN NAME(S)_________________________________________________________________

 

PHONE NUMBERS  (C)___________________________ (W)_________________________

 

EMERGENCY CONTACT (name)___________________________________ Relation______________________

 

PHONE NUMBER ____________________________

 

MEDICAL CONDITIONS/ ALLERGIES/ MEDICATIONS________________________________________________

 

__________________________________________________________________________________________

 

*I have read and understood the 2021 RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT *

Adult And/Or Natural Parent or Guardian Signature        

______________________________________________________________

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