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Mini Mustang Cheer Camp

Last Day to Register is September 13
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Child Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size Please enter valid data.
  
  Parent Information
  
  Parent Name(s) REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Insurance Provider Please enter valid data.
  
  Group ID Please enter valid data.
  
  Policy Number Please enter valid data.
  
  I authorize my camp personnel to act for me in case of any medical emergency. I understand I am responsible for all medical fees associated with any injury that may occur. My child is physical fit to participate in any vigorous activity that might take place at HCCA Sport Camps. By my acknowlegement below, I hereby release and forever discharge, and waive, any and all claims against HCCA, its employees, sponsors, and volunteers that relate to my election regarding and/or my child’s participation in the HCCA Sports Camp.
  
  Parent Acknowledgement REQUIRED I agree Please fill out this field.
  
  Ammount35.0
  
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