2002 SJSU
Badminton Fall Camp
July 8 - July 26, 2002
Entry Form
Student Information:
Name: _____________________________________________
Phone: _____________________________________________
Address: ___________________________________________
City: __________________ STATE: ______ ZIP: _________
Emergency Contact Information:
Name: _____________________________________________
Phone: _____________________________________________
Address: ___________________________________________
City: __________________ STATE: ______ ZIP: _________
Session Preferred:
__ Beginner $205 ( Monday-Friday 6:00PM - 8:00PM )
__ Intermediate/Advanced $205 ( Monday-Friday 8:00PM - 10:00PM )
10% off for the second and third person(s) from the same family
10% off for last year camp participants
Send form and payment to:
Dr.
Gong Chen, Camp Director
Department
of Human Performance
San
Jose State University
One
Washington Square
San
Jose, CA 95192-0054
Waiver and Release of Liability
Note: This form must be read and signed before the participant is permitted to take part in the event/session. By sigining this agreement, the participant affirms having read it.
In consideration of my involvement at the SJSU Badminton Summer Camp 2002 under the auspices of USA Badminton:
I have read this Release of Liability and Waiver Agreement, fully understand its terms, understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement. Under-age participant requires parents/guardians to sign this agreement.
Students or Parents/Guardians ( if participant is under 18 yrs old )
Signature: ____________________________________ Date: ____ / ____ / ________