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Camp HCC Registration
Week 1 J
une 19-23, 2023
Week 2
June 26-30, 2023
Youth entering kindergarten through 6th grade
*
Indicates required field
Child 1
*
First
Last
Age
*
Grade in Fall
*
Sex
*
Choose one
Male
Female
T-Shirt Size
*
Choose one
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X-Large
If you order the wrong size, you will be responsible to pay for a replacement shirt
School
*
Child 2
*
First
Last
Age
*
Grade in Fall
*
Sex
*
Choose one
Male
Female
T-Shirt Size
*
Choose one
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X-Large
School
*
Child 3
*
First
Last
Age
*
Grade in Fall
*
Sex
*
Choose one
Male
Female
T-Shirt Size
*
Choose one
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X-Large
School
*
Child 4
*
First
Last
Age
*
Grade in Fall
*
Sex
*
Choose one
Male
Female
T-Shirt Size
*
Choose one
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X-Large
School
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Please indicate Week 1, Week 2 or Both
*
i.e. - same team as cousin, baby sitter's child, ect. We will try to accommodate everyone.
Special Requests/Other Information
*
Please list any physical, learning, or emotional challenges or limitations and / or medications the coaches need to know about.
Primary Contact
*
Relationship
*
Phone Number
*
Email
*
Secondary Contact
*
Relationship
*
Phone Number
*
Email
*
Consent for Participation
I the parent/ guardian of the registrant, a minor, agree that the registrant and I will abide by the rules/ guidelines of the HCC it’s affiliated organizations and sponsors. Recognize the possibility of physical injury associated with the Camp HCC program and in consideration for the HCC, accepting the registrant for its programs and activities. I hereby release, discharge and or otherwise indemnify the HCC, its affiliated organizations and sponsors, there employees and associated personal, including the owners of facilities utilized for the program against any claims by or on behalf of the registrant as a result of the registrant’s participation in the program and or being transported to or from the same, which transportation I here-by authorize. Further permission must be granted by the HCC for the registrant without insurance coverage to participate.
Signature / Name
*
Health of Participant/Agreement to Mandatory Guidelines
As a parent or legal guardian of the above participant, I hereby agree that I will not allow the participant to attend Camp if they are feeling unwell. Further, I will explain to the participant the need to follow the CDC guidelines for summer camps regarding use of a mask during designated activities. I understand that a temperature reading will be taken at registration and any participant with a temperature will not be permitted to stay for Camp.
Signature/Name
*
Date
*
Consent for Minor Medical Treatment
As a parent or legal guardian of the above participant, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry . This care may be given under whatever conditions are necessary to preserve the health and safety of the participant.
Signature / Name
*
Date
*
Medical Insurance
*
Choose one
Yes
No
Doctors Name
*
Phone
*
(Participation will not be denied based on whether or not participant is insured)
Photo/Video Consent
I/We grant permission for my child to have his/her photo/video taken and published on the HCC Programs public internet site or any other type of media.
Photo/Video Consent
*
Choose one
Yes
No
Please note our refund policy available on our website at https://www.huntcommunitycenter.org/programs.html
Submit
Home
About Us
Facilities
>
Rental Information
Board of Directors
History
Programs
Basketball
Camp HCC
Education Programs
Fall Soccer
Gymnastics
Indoor Soccer
Pickleball
Play Day
Roller Skating
Swimming - Summer
Swimming - Winter
T-Ball
Track and Field
Uptown Playground
Donations
Volunteers
PA Clearances
Craft Fair
Scholarship Program
Rental Information
Gymnastics