Spring Break 2021

Complete this permission form and a Medical Release Form to reserve your spot! Medical Release Forms must be completed each school year- if you completed one for Ice Camp, you're already all set!

Leave from UCC at 1 pm on Sunday, March 21 and return around 4pm Friday, March 26.

Cost: $200

Pay online

Questions: contact tomn@uplandcc.org

Child 1 Name: *

Grade/School *

Child 2 Name:

Grade/School

Parent/Guardian Name *

Parent Phone# *

Parent Email Address *

T-Shirt Size? *

Allergies or other things to note:

Signing this digital form gives the applicant permission to participate in Spring Break 2021. (Use mouse to sign form) Must be signed by Parent or legal Guardian: I give permission for the above child(ren) to participate in any and all of the activities of this event. We do further release, above indemnify, and hold harmless the organizers, sponsors, and supervisors, or any people appointed by them. We likewise waive, to the extent not covered by liability insurance, any claims against any person transporting our child to or from the activities. *

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