Please complete the registration form below and mail payment prior to camp start date.

Girls Volleyball - May 24, 2014, 8:30 am-12:00 pm - Schwartz Center, 601 North Front Street
Cheerleading - June 28, 2014, 8:30 am-12:00 pm - Schwartz Center, 601 North Front Street
Boys Basketball - May 24, 2014, 12:30 pm - 4:00 pm - Schwartz Center, 601 North Front Street
Girls Basketball -
TBA
Boys Soccer - June 21, 2014, 9:00 am-3:00 pm - 4500 Blue Clay Road, Castle Hayne, NC 28429
Girls Soccer
- TBA

Participant Information

Choose an ID Camp  
Participant's First Name 
    Participant's Last Name 
Address 
City  State 
Home Phone  Cell Phone 
Date of Birth 
 Grade you will enter as of August 2014   
Gender:   

 
Height  Weight 


Parent/Guardian Information

Parent/Guardian First Name      Parent/Guardian Last Name 
Primary Phone Number    Secondary Phone Number  
Email 

Emergency Information

Medical Information:  List any physical conditions your child has that the instructors should be aware of (ex: allergies, asthma, epilepsy, ADD, etc.)


PARENTAL CONSENT FORM
Indemnification by Parent and/or Legal Guardian of Applicant

I/We, being the parents and/or legal guardian of the applicant, do hereby give permission for our (my) child (the applicant), as registered, to attend and participate in the Cape Fear Community College (CFCC) “Sea Devil ID Camp” and all the activities included in the camp sponsored by Cape Fear Community College in Wilmington, NC.  I/We do hereby waive, release, indemnify and agree to hold harmless the “Sea Devil ID Camp” and/or Cape Fear Community College, its administration and/or staff.

In the event that I am unavailable for purposes of providing parental consent, I/We being the parents and/or legal guardian of the applicant grant CFCC and it’s agents permission and authorization to request emergency medical treatment and/or care for the minor (applicant).  I/We hereby authorize the CFCC administration and /or staff, or a licensed physician to provide such hospital care, procedures and treatments as they pertain to my child's injury.  I/We understand that the consent and authorization does not include any major surgical procedures and is valid only during the time my child is participating in the “Sea Devil ID Camp”.  

I/We understand that CFCC does not provide medical insurance for camp participants.  In the event that treatment, hospitalization and/or surgery is needed, our primary family insurance shall be used.  I/We further represent that such insurance is in effect during my child's participation in the “Sea Devil ID Camp”.  I hereby waive and release the CFCC, administration and staff from any and all liability for injuries incurred by my child while attending camp.  I/We, being the parents and/or legal guardian of the applicant shall be liable and agree(s) to pay all costs and expenses incurred in connection with such medical services rendered to the aforementioned applicant pursuant to this authorization.

Furthermore, I/We claim that the applicant has had a physical examination in the past year and is found fit for all physical and sport activities.

Parental Consent 


Make checks payable to:  CFCC (Memo Line - Sea Devil ID Camp)

Mail Payment To:
          CFCC
          Attn: Athletic Department
          411 North Front Street
          Wilmington, NC  28401

If you have any questions, contact 910-362-7010 or email Kristen Gerth at kgerth@cfcc.edu