ARE YOU REGISTERING
A YOUTH 17 AND UNDER?
NOTE: All attendees who are Under the age of 18 Years of Age (infant through 17) who are staying in any Hampton University Residence Hall must submit a completed Summer Program Medical Clearance Form. and Permission Slip and Liability Waiver Form. There are no exceptions.
Download both forms below,
complete, sign, save to PDF and email. A Late Fee of $20.00 will be added on July 1, 2018
Email Completed Forms to: 2nddistrictofficestaff@gmail.com
Required | Permission Slip and Liability Waiver | Required
Parent/Guardian Instructions:
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Download the Permission Slip and Liability Waiver Form for each youth 17/under being registered
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Print the form
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Enter all required data, sign and date
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Scan to PDF
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Email completed PDF to: 2nddistrictofficestaff@gmail.com
Required | Medical Clearance Form | Required
Parent/Guardian Instructions:
-
Download the Summer Program Medical Clearance Form for each youth 17/under being registered
-
Print the form
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Parent or Guardian: Enter all required Personal Data Section
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Parent/Guardian: Provide the form to your health care provider for completion of data, signature and date
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Scan completed form to PDF
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Email completed PDF to: 2nddistrictofficestaff@gmail.com