Guadalupe Registration Form

Emergency Contact Name*
Phone
Parent’s Name (If under 18)
Name(s) of person(s) to pick up participant from class or summer camp
Release*
- I agree.
FOR STUDENTS UNDER THE AGE OF 18 I hearby give my son/daughter permission to attend GCAC classes. In case of an emergency during class time or field trips, I understand that proper medical aid will be sought and I will be responsible for all charges incured. I will not hold the instructor, GCAC or any other partnerships responsible. My signature is also a photographic release. FOR STUDENTS OVER THE AGE OF 18 In case of an emergency during class time or field trips, I understand that proper medical aid will be sought and I will be responsible for all charges incurred. I will not hold the instructor, GCAC or any other partnerships responsible. My signature is also a photographic release.