Colquitt County High School & s1

Colquitt County High School Cheerleader’s Present… MINI-CAMP 2016 When: July 18th – July 22nd Where: CCHS Gymnasium (New High School Gym)

9:00 - 12:00 for children entering Pre-Kindergarten -8th grade Daily pep rally performance at 11:30 (There will only be one session to include all girls this year)

Cost: $50.00/ child for forms returned by June 30th. $60.00 after June 30th (You may register at the door.)

Return completed registration form and a payment to: CCHS Cheerleading Mini-Camp (Attn: Patti Wier) Williams Middle School 950 4th Street SW Moultrie, Georgia 31768 Email: [email protected]

All participants will receive a Camp T-shirt! ------Payment: Cash______Check______

Name: ______Address: ______

Home Phone: ______Parent’s Cell Phone: ______Parent’s Work Phone: ______

Birthdate: ______Age: ______Grade entering: ___ T-shirt size: YS YM YL

Parents: ______AS AM AL

Allergies: ______

Medical Info: ______

Emergency Contact Information: ______Phone # ______For parent/guardian: I give permission for my child, ______, to participate in the CCHS cheerleading mini- camp. I understand that the CCHS Cheerleaders, Colquitt Co. School System, and CCHS is not responsible for any injuries that may occur while my child participates. I also give permission for medical assistance to be given if necessary.

Signed: ______Date: ______Please list the name(s) of adults who may pick up your child from camp this week: ______