Summer Beauty Camp

Parent/Guardian Name (required)

Your Email (required)

Address(required)

Your Phone (required)

Your Child's Name (required)

Child's Age (required)

Child's Shirt Size (required)
SmallMediumLarge

Medical information staff should be aware of, including allergies:

Are there any foods or drinks that your child cannot consume?

List names of who is able to pick up:

Emergency Contact 1: (required)

Emergency Contact 1 Phone: (required)

Emergency Contact 2:

Emergency Contact 2 Phone:

I, parent/guardian of the above named participant in the following activity,
Prissy Missy Summer Spa Camp, hereby give approval for her participation
in any and all activities during the duration of the program. I assume all risks
and hazards incidental to participation including transportation to and from
activities; and hereby waive, release, absolve, indemnify and agree to hold
harmless Prissy Missy Spa, local league organization, Prissy Missy Spa,
sponsors, supervisors, officials, participants and all other persons involved
in various capacities with the above activity for any claims, demands, or
courses of action arising out of or by reason of the above activity for which
the participant is registered. I also give my permission for the free and
unrestricted use of my name and picture in any broadcast or written
account of the event/activity.

I also grant permission to managing personnel or other league
representatives to authorize and obtain medical care from any licensed
physician, hospital or medical clinic should the participant become ill or
injured while participating in said activity or any associated activities at
times when neither parent/guardian is available to grant authorization for
emergency treatment.

*Parents will be required to disclose transportation methods for campers
arriving to and departing from camp.

Parents will be asked to provide names of persons who will be allowed to
transport campers.

*If a parent/guardian is habitually late picking up their child, then additional fees
will be assessed.

Parent/Guardian Signature (required)

Todays Date (required)