Summer Drum Camp Registration

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1Register for Camp

2Medical/Liability Release Form

3Photo Release Form

4Camp Payment

Student's Name

First

Last

Gender

Female
Male

Address

Address Line 1

Address Line 2

City

State

Zip Code

Name of School Student Attends

Grade Entering in Fall 2025

Parent/Guardian's Name

First

Last

Phone

T-Shirt Size

Name of Friend at Camp

Does your child have any learning challenges?

How did you hear about We Got the Beat & Summer Drum Camp?

Medical & Liability Release Form

Beater's Name

First

Last

Name of Group

WGTB
BTB

Effective June 2025-May 2026

Beater's Birthdate

Beater's Age

Beater's Gender

Date of Last Tetanus Shot

Allergies

Food Restrictions

Activity Restrictions

Physician's Name

Physician's Phone Number

Emergency Contact

In Emergency, Notify:

Relationship

Phone Number

Medical Release

This health history is correct so far as I know and this person has permission of the undersigned to engage in all activities except as noted. In case of illness or injury, Brenda Myers/We Got the Beat/Beyond the Beat/Jazz Fresno has my permission to procure medical treatment for the above named (minor, if applicable). I understand Brenda Myers/We Got the Beat/Beyond the Beat/Jazz Fresno does not provide medical insurance or reimbursement for medical fees or prescriptions and that I am responsible for any/all such fees and charges arising from illness or injury that may occur.

Liability Release

The undersigned, for himself or herself and on behalf of his or her child(ren) or ward(s) and their personal representatives assigns or heirs, (hereinafter referred to as Releasors,) hereby releases and agrees and covenants not to sue Brenda Myers/We Got the Beat/Beyond the Beat/Jazz Fresno, their owners, directors, stock holders, agents, successors, or any employee, (herein after referred to as Releasees,) from any and all liability or loss, damage, injury, death, or any other claim whatever to the person or property of any guest or participant whether caused by negligence of Releasees or any other person or thing while participating in activities sponsored by or associated with Brenda Myers/We Got the Beat/Beyond the Beat/Jazz Fresno. The undersigned elects to participate and/or allow his or her child(ren), ward(s), to participate voluntarily and assumes all risk of loss, damage, injury or death, known or unknown, foreseen or unforeseen that may be sustained.

YOU HAVE THE OPTION NOT TO PARTICIPATE OR ALLOW YOUR CHILD, CHILDREN, WARD OR WARDS NOT TO PARTICIPATE IN ANY ACTIVITY WHERE YOU DO NOT WISH TO WAIVE LIABILITY. IT SHALL BE YOUR RESPONSIBILITY TO INSURE THAT YOUR CHILD, CHILDREN, WARD OR WARDS DO(ES) NOT PARTICIPATE IN THE ACTIVITIES FOR WHICH YOU CHOOSE NOT TO BEAR LIABILITY.

The undersigned has read and voluntarily signs this medical release and waiver of all liability.

Parent/Guardian Signature

Clear Signature

Today's Date

Medical & Liability Release Form

Effective June 2025-May 2026

Emergency Contact

Medical Release

Liability Release

Photo Release Form

Parent/Guardian Info

Paying with Charter Funds?