<p> Colquitt County High School Cheerleader’s Present… MINI-CAMP 2016 When: July 18th – July 22nd Where: CCHS Gymnasium (New High School Gym)</p><p>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)</p><p>Cost: $50.00/ child for forms returned by June 30th. $60.00 after June 30th (You may register at the door.)</p><p>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] </p><p>All participants will receive a Camp T-shirt! ------Payment: Cash______Check______</p><p>Name: ______Address: ______</p><p>Home Phone: ______Parent’s Cell Phone: ______Parent’s Work Phone: ______</p><p>Birthdate: ______Age: ______Grade entering: ___ T-shirt size: YS YM YL</p><p>Parents: ______AS AM AL</p><p>Allergies: ______</p><p>Medical Info: ______</p><p>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.</p><p>Signed: ______Date: ______Please list the name(s) of adults who may pick up your child from camp this week: ______</p>