Hall of Fame Sports Academy 2006
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Day Camp Application 2006
**Due to limited capacity, the first registered will be given priority. Name:_______________________________________________________________________ Address:_____________________________________________________________________ Work Ph#:____________________________________________________________________ Home Ph#____________________________________________________________________ Child's Date of Birth:___________________________________________________________ School:_______________________________________________________________________ Grade on September 1 2006:_____________________________________________________ Mother's Name:_______________________________________________________________ Father's Name:________________________________________________________________ T-Shirt Size (youth size):_________________________________________________________ Make checks payable to: Hall of Fame Sports Academy Mail to: Hall of Fame Sports Academy 5047 Geraldine Ct. Missoula, Mt. 59803 I hereby authorize the staff of Hall of Fame Sports Academy to act for me according to their best judgement in any emergency requiring medical attention and I hereby waive and release the camp from any and all liability for any injuries or illness that incurred while at Hall of Fame Sports Academy. I have no knowledge of any physical impairment that would be affected by the above named camper's participation in the camp program. Parent signature required:__________________________________________________________ Date:___________________________________________________________________________
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Please call or email with any questions. (406) 360-9424 campdirector@halloffamesportsacademy.com
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