.,'6 '$< &$03 - Lewis University · 5 '5 1 , 5) 5." 5 .#0#.# -5 ( 5 0 (.-5#(51"# "5'35-)(i /!"....
Transcript of .,'6 '$< &$03 - Lewis University · 5 '5 1 , 5) 5." 5 .#0#.# -5 ( 5 0 (.-5#(51"# "5'35-)(i /!"....
I am aware of the activities and events in which my son/daughter will participate and certify that he/she possesses the physical abilities and attributes necessary to safely participate in those activities and events. In the event of emergency, I authorize Lewis University to transport or arrange transport to a local hospital where he/she may be given emergency medical treatment. I understand that Lewis University does not provide any medical insurance to my child, and that I am solely responsible for any costs arising out of or related to the transportation to a medical facility and/or provision of medical treatment. Parent/Guardian Signature Date
WEEK(S) ATTENDING:WEEK 1: JUNE 16-20
WEEK 2: JUNE 23-27
WEEK 3: JULY 21-25
YOUTH SMALLYOUTH MEDIUMYOUTH LARGEYOUTH X-LARGE
ADULT SMALLADULT MEDIUMADULT LARGEADULT X-LARGE
T-SHIRT SIZE:MULTIPLE WEEKMULTIPLE CHILDRENLEWIS FACULTY, STAFF, OR STUDENT
DISCOUNT:
321
R.A.D. Camp
SPONSORED BY THE STUDENT RECREATION, FITNESS & WELLNESS CENTER
KIDSDAYCAMP!
WEEK 1: JUNE 16-20
WEEK 2: JUNE 23-27
WEEK 3: JULY 21-25
I am aware of the activities and events in which my son/daughter will participate and certify that he/she possesses the physical abilities and attributes necessary to safely participate in those activities and events. In the event of emergency, I authorize Lewis University to transport or arrange transport to a local hospital where he/she may be given emergency medical treatment. I understand that Lewis University does not provide any medical insurance to my child, and that I am solely responsible for any costs arising out of or related to the transportation to a medical facility and/or provision of medical treatment. Parent/Guardian Signature Date
WEEK(S) ATTENDING:WEEK 1: JUNE 16-20
WEEK 2: JUNE 23-27
WEEK 3: JULY 21-25
YOUTH SMALLYOUTH MEDIUMYOUTH LARGEYOUTH X-LARGE
ADULT SMALLADULT MEDIUMADULT LARGEADULT X-LARGE
T-SHIRT SIZE:MULTIPLE WEEKMULTIPLE CHILDRENLEWIS FACULTY, STAFF, OR STUDENT
DISCOUNT:
32
I am aware of the activities and events in which my son/daughter will participate and certify that he/she possesses the physical abilities and attributes necessary to safely participate in those activities and events. In the event of emergency, I authorize Lewis University to transport or arrange transport to a local hospital where he/she may be given emergency medical treatment. I understand that Lewis University does not provide any medical insurance to my child, and that I am solely responsible for any costs arising out of or related to the transportation to a medical facility and/or provision of medical treatment. Parent/Guardian Signature Date
WEEK(S) ATTENDING:WEEK 1: JUNE 16-20
WEEK 2: JUNE 23-27
WEEK 3: JULY 21-25
YOUTH SMALLYOUTH MEDIUMYOUTH LARGEYOUTH X-LARGE
ADULT SMALLADULT MEDIUMADULT LARGEADULT X-LARGE
T-SHIRT SIZE:MULTIPLE WEEKMULTIPLE CHILDRENLEWIS FACULTY, STAFF, OR STUDENT
DISCOUNT:
3