Spring Break 2021

Spring Break Camp Registration

* Indicates required field

Participant Name *

First

Last

Participant Age *

Parent/Guardian Name *

Phone number *

Email *

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Allergens/Special Requests *

By registering online you hereby agree to release and hold harmless the Chebeague Recreation Center (CRC) and its agents and employees from and against any and all suits, actions and damage arising out of, connected with or resulting from participation in this program/event sponsored by the CRC. Further more, you authorize anyone working for CRC to call for medical care for your child(ren) if, in the opinion of the program supervisor working for CRC, medical attention is needed. *

I Agree

CRC is given permission to use your child's photo in any CRC promotional material such as brochures, flyers, website and Facebook. *

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Clicking "submit" will direct to the payment page.

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