Registration Info & Approvals

Registration Info & Approvals

Please submit this form once for each camper.

Camper Name:*
Date of Birth (mm/dd/yyyy):*
Name of School: *
and Grade: *
Does camper require accommodations due to physical limitations? *
Please explain:
Parent#1/Legal Guardian #1: *
Phone #1:*
-
Mobile #1:
-
Work #1:
-
E-mail #1:*
Address #1:*
Parent#2/Alternate Contact:
Phone #2:
-
Mobile #2:
-
Work #2:
-
Address #2:
Emergency Contact: *
Emergency Phone:*
-
Physician: *
Physician Phone:*
-
PHOTOGRAPH RELEASE: May we use pictures of your camper to publicize our camp? NOTE: We do not name campers pictured*
RELEASE FROM LIABILITY: I agree to hold harmless & indemnify Bridge for Youth, its Bridge day camp teachers, & volunteers from lawsuits & related expenses due to accidents or injuries to my child, while performing their on-site duties reasonably & in good faith during our day-camp. Staff duties are teaching & coaching Bridge, plus monitoring activities during “breaks.” *
Name: *
Date:*
Where did you first learn about our camp? Please be as specific as possible
PREVIOUS BRIDGE EXPERIENCE: For the benefit of all campers in the class, we strive to place your camper in the level most appropriate for their Bridge experience. If your child has prior experience with Bridge, please describe briefly. Include how frequently they have played and how long ago. If your child’s experience was a class, how long ago was that?
Does anyone in your immediate family play Bridge?

Partnering with your camper regularly between camps would be invaluable.