Professional Documents
Culture Documents
• Registration deadline to guarantee a T-shirt & soccer ball is Friday May 17th, but
campers may register up to the day of the camp.
• Turn in camp form to your Upper Sandusky school OR mail / drop off to USHS
with c/o: Patrick Massara at 800 N. Sandusky Ave. Upper Sandusky, OH 43351
I hereby authorize the Lady Rams Soccer Staff to act according to its best judgment
in case of an emergency requiring attention and I waive and release the camp from
any liability for injuries or illness while at camp.
These shall be used for communication purposes from the camp staff (weather, etc.).
Keep top
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Detach & return bottom in a sealed envelope
EMERGENCY MEDICAL AUTHORIZATION FORM
STUDENT’S NAME:
STUDENT’S ADDRESS:
Street City State Zip
STUDENT’S PHONE:
19-20 GRADE: BIRTHDATE: SOC. SECURITY #:
PURPOSE: To enable parents/guardians to authorize the provision of emergency treatment for children who become ill or
injured while under camp authority, when parents or guardians cannot be reached.