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Summer Camp Registration

Please complete the Summer Camp Registration form below and submit.


T-Shirt Size:


(Not all camps provide a t-shirt)


RELEASE AUTHORIZATION:

I hereby represent and warrant that the information pertaining to the individual listed above is correct. I am authorized to provide the waiver and release authorizations contained herein and agree to the camp policies. I agree to release Lenoir Community College and its agents from any and all liability.


LIABILITY WAIVER & PHOTOGRAPHIC CONSENT:

I hereby register my child/children to participate in the summer camp program at Lenoir Community College. I hereby release Lenoir Community College, including employees, members of the Board of Trustees, contracted personnel, volunteers and any other affiliates from any and all liability for all injuries or damages suffered by my child/children while participating, preparing to participate or otherwise engaged in activities connected with this program. The undersigned agrees to assume all risks, and recognizes that despite the exercise of reasonable safety precautions by Lenoir Community College, injury is possible whenever one engages in physical activity. If any emergency arises, I/we authorize emergency treatment or hospitalization when deemed necessary by college personnel. I/we hereby authorize Lenoir Community College to show and reproduce the name, photographs, pictures, and video taken of my child(ren) for the purpose of promoting the college, its curriculum, and enrichment programs. Please notify camp director of any allergies or wellness issues we need to be aware of while attending camp.

Limited Availability: Must preregister for all camps online one week prior to start date of the camp(s).

Credit card payment may be made by calling (252) 527-6223, ext. 324
or by mailing payment with registration form to:

Lenoir Community College, Attention: Business Office, PO Box 188, Kinston, NC 28502
or bring registration form and payment to the Cashiers’ Office located on the first floor of the Administration Building.

Please leave this field empty.

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