We would love for you to join us for our summer Little Duckies water polo camp on August 7-11, 2023 from 10:00am - 1:00pm. Lunch will be provided.
This camp is open to children in grades kinder through 8th grade. The child should be comfortable in the water but doesn't need to be an expert swimmer. Please note, this camp is not swim lessons, it is to show how fun water polo can be! There will be fun activities in and out of the pool to teach different skills & techniques.
Please bring a towel, sunscreen and plenty of water to drink everyday.
*This is a fundraiser for the Sierra High water polo program, any additional donations are greatly appreciated. All funds go directly to supporting Sierra High Aquatics.
We would love for you to join us for our summer Little Duckies water polo camp on August 7-11, 2023 from 10:00am - 1:00pm. Lunch will be provided.
This camp is open to children in grades kinder through 8th grade. The child should be comfortable in the water but doesn't need to be an expert swimmer. Please note, this camp is not swim lessons, it is to show how fun water polo can be! There will be fun activities in and out of the pool to teach different skills & techniques.
Please bring a towel, sunscreen and plenty of water to drink everyday.
*This is a fundraiser for the Sierra High water polo program, any additional donations are greatly appreciated. All funds go directly to supporting Sierra High Aquatics.
Add a donation for Sierra High School Aquatics
$
Camp Enrollment
$80
Enrollment for 1 child for Little Duckies Water Polo Camp. 8/7/2023 - 8/11/2023
Enrollment for 1 child for Little Duckies Water Polo Camp. 8/7/2023 - 8/11/2023
Additional Siblings
$70
Enrollment for 1 additional sibling for Little Duckies Water Polo Camp. 8/7/2023 - 8/11/2023
Enrollment for 1 additional sibling for Little Duckies Water Polo Camp. 8/7/2023 - 8/11/2023
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Your information
United States
California
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Parent/Guardian Name*
Health Insurance; Policy ID & Address*
While my child(ren) listed above is/are attending or traveling to or from this function, I HEREBY AUTHORIZE THE HEAD SWIM COACH, or in his/her absence or disability, any adult accompanying or assisting him/her, to CONSENT TO THE FOLLOWING MEDICAL TREATMENT FOR SAID MINOR ABOVE, any x-ray examination, anesthetic, medical or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to be rendered under the general or special supervision of any physician and/or surgeon licensed under the provisions of the Medical Practice Act; or an x-ray examination, anesthesia, dental or surgical diagnosis or treatment, and hospital care to be rendered by a dentist under the provision of the Dental
Practice Act..
This authorization is given pursuant to the provisions of Section 25.8 of The Civil Code of California. This authorization shall remain effective until my child completes his or her activities in the program unless sooner revoked in writing. I understand that, as a parent/legal guardian, I will be responsible for the cost of any treatment or service provided. I/We the undersigned parent(s) of the above named child, who is a candidate for a position in the Little Duckies Water Polo Camp, hereby give my approval to his/her participation in any and all activities of the team during the current season. I/We assume all risks and hazards incidental to the conduct of the activities and transportation to and from the activities. We do further hereby release, indemnify and hold harmless the Sierra High Water Polo Program, Sierra High School, Sierra Unified School District and any team sponsors.
I/We likewise release from responsibility any person transporting my/our children upon request of a league official. BY SIGNING THIS FORM, I/WE WAIVE ALL CLAIMS AGAINST SIERRA HIGH, UNIFIED SCHOOL DISTRICT, AND ALL PERSONS ASSOCIATED WITH TEAM, AND/OR LOCAL SCHOOLS WHERE PRACTICES AND CAMPS ARE HELD.
I acknowledge that I have read this consent form and knowingly, on behalf of my child, assume all the risks associated with participating in any way in the Little Duckies Water Polo Camp.*