I am aware of the activities and events in which my son/daughter will participate and certify that he/she possesses the physical abilities and attributes necessary to safely participate in those activities and events. In the event of emergency, I authorize Lewis University to transport or arrange transport to a local hospital where he/she may be given emergency medical treatment. I understand that Lewis University does not provide any medical insurance to my child, and that I am solely responsible for any costs arising out of or related to the transportation to a medical facility and/or provision of medical treatment. Parent/Guardian Signature Date

WEEK(S) ATTENDING:WEEK 1: JUNE 16-20

WEEK 2: JUNE 23-27

WEEK 3: JULY 21-25

YOUTH SMALLYOUTH MEDIUMYOUTH LARGEYOUTH X-LARGE

ADULT SMALLADULT MEDIUMADULT LARGEADULT X-LARGE

T-SHIRT SIZE:MULTIPLE WEEKMULTIPLE CHILDRENLEWIS FACULTY, STAFF, OR STUDENT

DISCOUNT:

321

R.A.D. Camp

SPONSORED BY THE STUDENT RECREATION, FITNESS & WELLNESS CENTER

KIDSDAYCAMP!

WEEK 1: JUNE 16-20

WEEK 2: JUNE 23-27

WEEK 3: JULY 21-25

I am aware of the activities and events in which my son/daughter will participate and certify that he/she possesses the physical abilities and attributes necessary to safely participate in those activities and events. In the event of emergency, I authorize Lewis University to transport or arrange transport to a local hospital where he/she may be given emergency medical treatment. I understand that Lewis University does not provide any medical insurance to my child, and that I am solely responsible for any costs arising out of or related to the transportation to a medical facility and/or provision of medical treatment. Parent/Guardian Signature Date

WEEK(S) ATTENDING:WEEK 1: JUNE 16-20

WEEK 2: JUNE 23-27

WEEK 3: JULY 21-25

YOUTH SMALLYOUTH MEDIUMYOUTH LARGEYOUTH X-LARGE

ADULT SMALLADULT MEDIUMADULT LARGEADULT X-LARGE

T-SHIRT SIZE:MULTIPLE WEEKMULTIPLE CHILDRENLEWIS FACULTY, STAFF, OR STUDENT

DISCOUNT:

32

I am aware of the activities and events in which my son/daughter will participate and certify that he/she possesses the physical abilities and attributes necessary to safely participate in those activities and events. In the event of emergency, I authorize Lewis University to transport or arrange transport to a local hospital where he/she may be given emergency medical treatment. I understand that Lewis University does not provide any medical insurance to my child, and that I am solely responsible for any costs arising out of or related to the transportation to a medical facility and/or provision of medical treatment. Parent/Guardian Signature Date

WEEK(S) ATTENDING:WEEK 1: JUNE 16-20

WEEK 2: JUNE 23-27

WEEK 3: JULY 21-25

YOUTH SMALLYOUTH MEDIUMYOUTH LARGEYOUTH X-LARGE

ADULT SMALLADULT MEDIUMADULT LARGEADULT X-LARGE

T-SHIRT SIZE:MULTIPLE WEEKMULTIPLE CHILDRENLEWIS FACULTY, STAFF, OR STUDENT

DISCOUNT:

3