May 11, 2021

Middle School Guard Camp – Sign Up Here!

Johnston County Middle School Guard Camp Application

Applicant Name:*
Parent Name:*
Address:*
E-mail:*
Contact Phone:*
-
Past Guard Experience:
Middle School:*
T-Shirt Size:*
Grade:*
Medical Release
Emergency Phone:*
-
Special Medical Concerns/Conditions:*
Medical Insurance Company:*
Insurance Policy Number:*
Physician Name:*
Physician Phone:*
-
As parent and legal guardian I authorize the staff of this event to seek, obtain and consent to treatment for my child listed on this form as deemed necessary by a licensed medical or healthcare professional. This authorization covers the entire time my child is a student at the band camp.*