Application Step 1 of 3 - About You 33% Child's Name* First Last Date of Birth* Date Format: MM slash DD slash YYYY Parent Name* First Last Parent Phone*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 What School do you attend?Grade* Name First Last PhoneName 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 Date Format: MM slash DD slash YYYY
