Academics

2012 Wisconsin Lutheran College Cheerleading Camp Registration Form

(all fields are required; please submit a separate form for each camper)

Participant's Name:  
School Attending:  
Age:
Grade (Fall 2011):  
Home Address:  
City, State, Zip:  
Home Phone:  
Parent's Email:
(will be used for camp communication only)
Health Insurance Carrier:  
Policy Number:  
T-shirt Size:  
Legal Disclaimer:
  1. I hereby release Wisconsin Lutheran College and its employees from all responsibilities for damages or injuries while participating at any WLC athletic camps, except injuries resulting from gross negligence or willful misconduct. I certify that the applicant is in good health and able to participate in this camp. I agree to allow the applicant to be treated by a licensed physician if necessary. I grant the camp officials, Wisconsin Lutheran College, and sponsors the exclusive right to use my name or photo in future promotional items for this event. For more information call (414) 443-8808.
Payment Method:
  1.  
  2.  

Please click the button below only once.
It may take up to 30 seconds to process the form.