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
______________________________________________________________