Every Participant must have a completed Camp Henry waiver to attend this event. Please note, dietary needs can be addressed in this waiver.

CAMP HENRY'S WAIVER

Name

First Name

Last Name

Position at Camp

Representing Camp

Is your organization a CCCA member?

How many Staff / Interns from your representing camp will be attending?

If you plan on attending, please include yourself in this calculation

PLEASE ACCURATELY FILL OUT ATTENDEE INFORMATION FOR EACH STAFF / INTERN ATTENDING

IF YOU PLAN ON ATTENDING, PLEASE FILL OUT AN ATTENDEE SECTION FOR YOURSELF

ATTENDEE #1

Name (1)

First Name

Last Name

Gender (1)

Position at Camp (1)

ATTENDEE #2

Name (2)

First Name

Last Name

Gender (2)

Position at Camp (2)

ATTENDEE #3

Name (3)

First Name

Last Name

Gender (3)

Position at Camp (3)

ATTENDEE #4

Name (4)

First Name

Last Name

Gender (4)

Position at Camp (4)

ATTENDEE #5

Name (5)

First Name

Last Name

Gender (5)

Position at Camp (5)

ATTENDEE #6

Name (6)

First Name

Last Name

Gender (6)

Position at Camp (6)

ATTENDEE #7

Name (7)

First Name

Last Name

Gender (7)

Position at Camp (7)

ATTENDEE #8

Name (8)

First Name

Last Name

Gender (8)

Position at Camp (8)

ATTENDEE #9

Name (9)

First Name

Last Name

Gender (9)

Position at Camp (9)

ATTENDEE #10

Name (10)

First Name

Last Name

Gender (10)

Position at Camp (10)

ATTENDEE #11

Name (11)

First Name

Last Name

Gender (11)

Position at Camp (11)

ATTENDEE #12

Name (12)

First Name

Last Name

Gender (12)

Position at Camp (12)

ATTENDEE #13

Name (13)

First Name

Last Name

Gender (13)

Position at Camp (13)

ATTENDEE #14

Name (14)

First Name

Last Name

Gender (14)

Position at Camp (14)

ATTENDEE #15

Name (15)

First Name

Last Name

Gender (15)

Position at Camp (15)

ATTENDEE #16

Name (16)

First Name

Last Name

Gender (16)

Position at Camp (16)

ATTENDEE #17

Name (17)

First Name

Last Name

Gender (17)

Position at Camp (17)

ATTENDEE #18

Name (18)

First Name

Last Name

Gender (18)

Position at Camp (18)

ATTENDEE #19

Name (19)

First Name

Last Name

Gender (19)

Position at Camp (19)

ATTENDEE #20

Name (20)

First Name

Last Name

Gender (20)

Position at Camp (20)

ATTENDEE #21

Name (21)

First Name

Last Name

Gender (21)

Position at Camp (21)

ATTENDEE #22

Name (22)

First Name

Last Name

Gender (22)

Position at Camp (22)

ATTENDEE #23

Name (23)

First Name

Last Name

Gender (23)

Position at Camp (23)

ATTENDEE #24

Name (24)

First Name

Last Name

Gender (24)

Position at Camp (24)

ATTENDEE #25

Name (25)

First Name

Last Name

Gender (25)

Position at Camp (25)

Representing Camp...

# of Attendees...

Cost...

x 3% (processing fees)

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