2018 Downingtown East High School Cheerleading

  • Cougar Summer Camp

June 25th -June 28th, 9:00 am to 1:30 pm

(Check in begins @ 8:30am)

Downingtown East High School

50 Devon Dr.

Exton PA, 19341

Hosted by the nationallyranked

Cougar Cheerleading Team & Coaches

Attention Campers Ages 5 thru High School:

Come and join us for 4 fun-filled days whereparticipants will learn the basic and advanced skills of cheerleading (by age and or skill level). Bring your lunch including a drink (please put your name on your lunch), wear sunscreen and be ready to have some fun!

Parents: Join us on the last day at 1:00 for a performance of skills learned

Cost:

$120.00 per cheer camper in advance Send registration, waiver & check to:

(2nd family member $110, 3rd - $90) Kristina Jardin

$130.00 CASH ONLY - Walk in registration 490 Braceland Dr.

Make checks payable to: DCA East Downingtown, PA 19335

Registrations due: June 18th, 2018 Questions?

Participant’s Name ______Age____ Grade ______

Address______

City______State PA______Zip Code______

Phone______E-Mail ______

School ______Current Team (if applicable) ______

Special requests ______

*Requests to be with other campers will be limited to 1 per camper. Requests may only be made in advance, & with appropriate age & grade levels.)

Waiver Form

I understand the Downingtown Area School District, its staff and employees, and the DEHS Cougar Cheer Camp staff is not responsible for any accident or injury occurring to

(Camper)______

While attending the Cougars Cheer Clinics.

______

Parent/Guardian Signature Date

Please list all medical information (allergies, medications, health Issues)______

Authorization to Consent to Medical Treatment for a Minor Child

I, (Parent/guardian) ______, state that I am the natural parent and/or have legal custody of

(Child’s Name):______.

I give permission for my child to receive: ______Tylenol ______Benadryl, if necessary.

I authorize the head coach, nurse & or camp director, to consent to any examination, anesthetic, x-ray, medical or surgical diagnosis or treatment, and/or hospital care to be rendered to this minor under the general conditions of special supervision and on the advice of any physician or surgeon licensed to practice when efforts to contact me are unsuccessful.

______

Parent/Guardian Name (Please Print) Emergency Phone #

______

Parent/Guardian Signature Date

______

Medical Insurance Carrier Policy #

______

Emergency Contact Relationship to camper Contact #