KC Skills Camp

Camper 1:_______________________________________
Address:___________________________________________
City:_____________________ State:______ ZIP: ______
Phone:____________________ Email Address:_________________________
Date of Birth:____________ School:___________________
Position:_________________
T Shirt Size (Circle One)
Youth:XL Adult:M Adult:L

Disclaimer:

I hereby release the KC Skills Camp, camp directors, camp staff, and the SPCAA from any and all liability for injuries, illness or loss of property that the registrant may incur while attending the KC Skills Camp.


__________________________________________
Signature of Parent or Guardian Date

Camper 2:_______________________________________
Address:___________________________________________
City:_____________________ State:______ ZIP: ______
Phone:____________________ Email Address:_________________________
Date of Birth:____________ School:___________________
Position:_________________
T Shirt Size (Circle One)
Youth:XL Adult:M Adult:L

Disclaimer:

I hereby release the KC Skills Camp, camp directors, camp staff, and the SPCAA from any and all liability for injuries, illness or loss of property that the registrant may incur while attending the KC Skills Camp.


__________________________________________
Signature of Parent or Guardian Date


Mail completed form(s) along with payment ($65. Additional campers from the same family only $45) to:

SPCAA
KC SKILLS CAMP
8341 NW MACE ROAD
KANSAS CITY, MO 64152