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SUBSCRIPTION FORM
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Camper
First Name
Last Name
Age
Grade
K
1st
2nd
3rd
4th
5th
6th
7th
8th
T-shirt Size
Youth Extra Small
Youth Small
Youth Medium
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Youth extra large
Medical conditions
Take medications?
Parent/Guardian
Full Names
Contact Number
Email
Full Names (Emergency )
Contact Number (Emergency)
Email
Authorized to pick up
The following person(s) are authorized to pick up my child from Summer Camp:
Authorized person # 1
Contact Number
Authorized person # 2
Contact Number
Release of Liabilities and Media
I agree to accept full responsibility for any and all injuries that may occur during Summer Camp activities. I will not hold Lecel Academy Summer Camp / BridgePrep Academy of Doral liable. I give permission for my child’s photo, group video or group photo to be published in Lecel Academy / BridgePrep Academy website without compensation. .
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.* No refunds/transfers for any Summer Camp payments.
Acceptance
I AGREE TO ALL THE ABOVE
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