EmailMeForm
Shaw University Cheer Camp Registration Form
Parent/Guardian Name
*
First
Last
Primary Phone
*
###
-
###
-
####
Work Phone
###
-
###
-
####
Email
*
If Shaw University Employee, please enter @shawu.edu email
Is address same as child?
*
Yes
No
Parent Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
CAMPER(S) INFORMATION
Number of Camper(s)
*
x1 Camper $35
x2 Campers $70
x3 Campers $105
x4 Campers $140
Camper(s) Information
First Name
Last Name
Grade Level (2017-2018)
Gender
Camper 1
Camper 2
Camper 3
Camper 4
Does the camper(s) require any special accommodations to participate in this program/activity?
*
Yes
No
If yes, please explain special accomodations:
EMERGENCY CONTACT
Emergency Contacts
*
Contact Name
Relationship
Contact Number
Emergency Contact 1
Emergency Contact 2
Budget Code (Internal Use)
Total
$0.00
