Building A Champion, Inc.
1601 N Sepulveda Blvd. #776
Manhattan Beach, CA 90266
July 24-28, 2006, 9:00am-4:00pm
Name:
Address:
City:
State:
Zip:
Telephone:
Cell Phone:
Parent Email:
T-Shirt Size: (select one)
Youth:
Large
XL
Adult:
Med.
Large
XL
I hereby waive and release the camp from any and all liability concerning injuries or illnesses while at camp. I understand that I must carry my own accident insurance. I also understand that the camp retains the right to use photographs and video of campers while at camp for publicity and advertising purposes.
Payment method:
Pay $500 registration fee online with a credit card
Pay $500 registration fee with a check or money order by mail
Building A Champion, Inc.