2021 SportsC Registration form

Heritage Hall Christian School
Sports Camp
For upcoming 3rd–6th graders

Please fill out the registration form below and click submit. You will be notified within 48 hours of your registration acceptance. If you have any questions please call 765–213-2242 or email us. Please note if you have multiple campers, you will need to submit a form for each camper.

* Indicates required field

Name of Child *

First

Last

Age of Child *

Child's Date of Birth *

Grade of Child *

Please list any allergies or health concerns we need to be aware for your child. *

Choose One *

Male Female

Please list any medications your child needs to have during camp. *

ATTENDANCE
Please select the week(s) your child will be attending Sports Camp at HHCS. If your plans change during the summer and your child will not be attending a particular week, please let us know at least 24 hours in advance (call 765-213-2242 or email us).

SPORTS CAMP ATTENDANCE

Weeks of Sports Camp Attendance *

June 7-11 Basketball Week June 14-18 Soccer Week June 21-25 Volleyball Week June 28-July 2 Music Week

PARENT INFORMATION

FATHER/MALE GUARDIAN *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Cell Phone Number *

MOTHER/FEMALE GURDIAN *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Cell Phone Number *

EMERGENCY CONTACT INFORMATION

#1 Emergency Contact Person's Name *

First

Last

Primary Phone # *

Relationship to Child (choose one) *

#2 Emergency Contact Person's Name *

First

Last

Primary Phone # *

Relationship to Child (choose one) *

List of people who ARE authorized to pick up this child from Camp. (Please specify their relation to the child) *

List of people are NOT authorized to pick up this child. (Please specify their relation to the child) *

I understand that my child may be involved in activities at camp that include outdoor activities, gym activities, etc. on the campus of Heritage Hall.
In consideration of services or property provided, I, for myself and any minor children for which I am parent, legal guardian or otherwise responsible, do hereby release Grace Baptist Church and Heritage Hall Christian School, its principal, directors, officers, agents, employees and volunteers, and each and every land owner, municipal and/or governmental agency upon whose property an activity is conducted, from all liability and waive any claim for damage arising from any cause whatsoever (except that which is the result of gross negligence).
I hereby grant permission for my child to attend and take part in the activities and programs at provided by and for Heritage Hall Sports Camp, and in the event of an emergency, seek medical assistance for my child if unable to contact any of the persons named on this form.
I authorize Heritage Hall Christian School to take and use any photographs, slides, and video of my camper for promotional purposes in brochures, flyers, social media, and website.

Check the box below if you agree with the above waiver. *

I acknowledge that I have read the HHCS Sports Camp waiver and so hereby agree to its contents. Permission to publish OPT OUT: By checking this box, you ask that your child's photo not be published in any brochures, website, or social media.

HHCS SPORTS CAMP FINANCIAL AGREEMENT

FEES and ARRIVAL INFO
$75 • Sports Camp Only
                        • Monday-Friday, 10:00a–2:00p

$100 • Sports Camp & Early Morning Camp
                        •Monday-Friday, 7:30a–2:00p

$100 • Sports Camp & Late Afternoon Camp
                        • Monday-Friday, 10:00a–5:30p

Payments may be made in the elementary office (Door 4) during morning check-in.
Payment is due in advance or no later than Monday of the week attending.
Payment by cash, check, or credit card is required at the beginning of each week. Make checks payable to Heritage Hall.
Failure to make payments as required on time may result in a late fee of $25 assessed or student will be prohibited from attending until past due amounts are paid in full.
The weekly fee will not be adjusted for absence due to illness. Signing up by the week facilitates scheduling of activities and workers.
Campers must be checked in by 10 A.M., unless camper is attending the Early Morning Summer Day Camp, then arrival time is by 7:30 A.M..
Failure to pick up the student by the 5:30 P.M. closing time will incur a $20 late fee. However, upon request we offer a 7 A.M. early drop off or a 6 P.M. late pick up for the cost of $5/day or $20/week. If you need both early and late accommodations the fee is $25/week. This late fee payment will be due by the following week.

AGREEMENT *

BY CHECKING THIS BOX, I INDICATE THAT I HAVE READ AND UNDERSTAND THE POLICIES AND AGREE TO MAKE PAYMENTS ON TIME AS SPECIFIED ABOVE.

Submit

IF YOU CHOOSE TO PAY IN ADVANCE FOR YOUR CHILD TO ATTEND CAMP, PLEASE CLICK BELOW.
(Note: There is a 2.3% + $ .30 fee per PayPal transaction.)
You are also welcome to wait and pay on your child's first day of camp. Payments can be made in cash, check, or credit.

Heritage Hall Christian SchoolSports CampFor upcoming 3rd–6th graders

ATTENDANCEPlease select the week(s) your child will be attending Sports Camp at HHCS. If your plans change during the summer and your child will not be attending a particular week, please let us know at least 24 hours in advance (call 765-213-2242 or email us).

SPORTS CAMP ATTENDANCE

PARENT INFORMATION

EMERGENCY CONTACT INFORMATION

HHCS SPORTS CAMP FINANCIAL AGREEMENT

IF YOU CHOOSE TO PAY IN ADVANCE FOR YOUR CHILD TO ATTEND CAMP, PLEASE CLICK BELOW.(Note: There is a 2.3% + $ .30 fee per PayPal transaction.)You are also welcome to wait and pay on your child's first day of camp. Payments can be made in cash, check, or credit.

Heritage Hall Christian School
Sports Camp
For upcoming 3rd–6th graders

ATTENDANCE
Please select the week(s) your child will be attending Sports Camp at HHCS. If your plans change during the summer and your child will not be attending a particular week, please let us know at least 24 hours in advance (call 765-213-2242 or email us).

IF YOU CHOOSE TO PAY IN ADVANCE FOR YOUR CHILD TO ATTEND CAMP, PLEASE CLICK BELOW.
(Note: There is a 2.3% + $ .30 fee per PayPal transaction.)
You are also welcome to wait and pay on your child's first day of camp. Payments can be made in cash, check, or credit.