Camper:
Parent:
Contact Information:
Medical Information:
Medical Treatment-Consent and Release Authorization: I/We the undersigned, for ourselves, our heirs, executors and administrators, waive, release and forever discharge BEREADY ACADEMY, Ben Ebong and its staff, offi cers, agents, employees, representatives and assigns of and from all rights and claims for damages, injuries, or loss of person or property which may be sustained or occurred during participation in Camp activities or while at Camp. I also give permission for my child to be given emergency treatment at a local hospital. I agree
How did you hear about BEREADY ACADEMY?
Essay: What matters most to you and why? Give a clear image of who you are and how you became the person you are today. Talk about the people, lessons, values and experiences that have influenced your life the most. Discuss what role BEREADY can have in those things that are important to you now and in the future. On your mark…Get set…Go!
Hint – to avoid losing work, type your essay in your preferred word processor, then copy/paste into this box!
Your last semester or quarter school report card:
I/We hereby acknowledge and understand that the BEREADY ACADEMY is a privately run sports camp, and is not operated by or through Burke High School/Lake Norman Charter School. The ACADEMY is neither sponsored, controlled, nor supervised by the venue operator, but rather is under the sole sponsorship and supervision of the BEREADY ACADEMY and its staff. I/We additionally acknowledge and understand that BEREADY ACADEMY may use images of campers to promote current and future events. I agree
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