Lionhearts Fitness Summer Camp Registration

Carnival of Fitness

These forms are required for your children to attend camp.
Lionhearts Fitness

LionheartsFitness.com
Camper's Information
Member ID
Camper Name *
Nickname
Date of Birth *

Month Day Year Date Picker Icon
Age
School Camper Attends
Entering Grade in 2018/19 *
Camp Registering For? *
T-Shirt Size
First Day at Camp

Month Day Year Date Picker Icon
Please provide any additional information that you think is important or may affect the camper's ability to fully participate in the camp program.

Home Address *

Parent's Work/School Address

Where would you like to be reached while your child is at camp? *

Cell Phone Work Phone Home Phone
Additional Parental Information

Parent/Guardian 2
Relationship to Child
Parent/Guardian 2

First Name Last Name
E-mail
Cell Phone
Home Phone
Home Address Same as Parent/Guardian 1?

Yes

Home Address

Parent's Work/School Address

Where would parent/guardian 2 like to be reached while your child is at camp?

Cell Phone Work Phone Home Phone

Emergency Contacts/Authorized Pickup

Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. At least one person listed must be within one hour of the center/home, able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age. The first emergency contact must live no more than 1 hour away and be over the age of 18.
Emergency Contact #1
Full Name *

First Name Last Name
Primary Phone Number *
Secondary Phone Number
Relationship to Child *
Emergency Contact #2
Full Name *

First Name Last Name
Primary Phone Number *
Relationship to Child *

All Camps include daily fitness, drills, life skills and community building.
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Carnival of Fitness

Lionhearts Summer Camps
Should be Empty:

Lionhearts Fitness