Application Cole’s Kids Application Step 1 of 3 - About You 33% Child's Name* First Last Date of Birth* MM slash DD slash YYYY What School do you attend? Grade* Must be in grades 1st-6th grade for the 2020-2021 school year. TShirt Size* Youth Small Youth Medium Youth Large Adult Small Adult Medium Please indicate what Tshirt your child wearsChild's Name First Last Date of Birth MM slash DD slash YYYY What School do you attend? Grade TShirt Size Youth Small Youth Medium Youth Large Adult Small Adult Medium Please indicate what Tshirt your child wearsChild's Name First Last Date of Birth MM slash DD slash YYYY What School do you attend? Grade TShirt Size Youth Small Youth Medium Youth Large Adult Small Adult Medium Please indicate what Tshirt your child wearsChild's Name First Last Date of Birth MM slash DD slash YYYY What School do you attend? Grade TShirt Size Youth Small Youth Medium Youth Large Adult Small Adult Medium Please indicate what Tshirt your child wearsParent Phone*Parent Name* First Last Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency Contact First Last PhoneEmergency First Last Phone Photo Release* I consent to authorize Camp Cole and Coleʼs Kids to use any and all photographs and any other visual/audio materials taken of my child for promotional materials, social media, and any other use that can benefit the organization. I DO NOT Consent for Camp Cole any to use any photographs and any other visual/ audio materials taken of my child. Handbook* I agree to review the handbook with my child and enforce the clubʼs expectations.Liability Release* The above Child would like to participate in the Coleʼs Kids program. I acknowledge that in the event that an accident does occur while involved in or at a Coleʼs Kids event, Camp Cole will not be held liable for the accident occurred.SignatureDate MM slash DD slash YYYY Product Name Price: $20.00 Quantity: Payment Method*PayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name
