Choose a Sport

Shirt Size (not applicable for varsity camps)

Name of Player

Date of Birth (MM/DD/YYYY)

Grade (Fall 2010)

Sex

Parent's Name

Street Address

City

Zip Code

Home Phone (XXX-XXX-XXXX)

Cell Phone (XXX-XXX-XXXX)

Special Needs/Allergies

I give permission for my son/daughter to participate in the 2010 WCA Summer Sports Camp. Should any medical emergency arise the Washtenaw Christian Academy leaders or supervisors of the event have my permission to obtain any necessary emergency care for my son/daughter. I agree to hold Washtenaw Christian Academy, its employees or volunteers harmless for any claim or action that might arise on behalf of myself and my son/daughter other than for the willful, wanton or reckless misconduct of Washtenaw Christian Academy, its employees or volunteers. I understand that my son/daughter will agree to obey the instruction of the Washtenaw Christian Academy leaders or supervisors of the event and respect the rights of others.