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TO BE COMPLETED BY PARENT OR LEGAL GUARDIAN.
Home Mailing Address
Parent’s/Legal Guardian’s email address (We will use this email to share information about the camp.)
Camper Pickup: Person who will be picking up the student.
Student’s grade next fall:
Do you wish to be put on a waiting list if the program is full?
How did you hear about our camps?
From a website (please indicate which one)
Friend or family member
Teacher or guidance counselor
I/We, the undersigned, individually and as parent(s) or legal guardian(s) of , a minor, ask that he/she be admitted to participate in this camp sponsored by Capital University. In consideration of such admission, I/we do hereby agree to release, discharge, and hold harmless Capital University, its officers, agents, and employees of and from all causes, liabilities, damages, claims, or demands whatsoever on account of any injury or accident involving the said minor arising out of the minor’s attendance at the camp or residence in University housing, or in the course of activities held in connection with the camp.
Signature (At least one is required to complete registration.)
Parent’s/Legal Guardian’s signature Date
Enroll the camper in:
QUESTIONS AND COMMENTS:
By clicking "Submit Form," you are consenting to the terms and conditions on this form. After clicking "submit" you will be led to our secure payment server to complete registration payment.
Capital University is a private four-year undergraduate institution and graduate school located in the Columbus, Ohio, neighborhood of Bexley. Copyright © 2014 Capital University