Please enter information in the form below to process registration for event
Please indicate if you would like to have a room alone with your camper, extra fee will apply, email for details.
Are there any Dietary Needs/Allergies?
List Dietary Needs/Allergies
Full-Time Student $300
(Includes: Overnight accommodations, 3 meals, all classes, transportation to gym)
Part-Time Student $215
(Includes: Lunch, dinner, day/night classes)
(Includes: 3hr/day – 3 hours of instruction only in desired skill level)
I consider myself
I am interested in
Kids 2 National (K2N)
I wish to enroll in Private Lessons with
(Private lessons available on a limited basis $40/hr CASH ONLY/pay at lesson. Most privates scheduled for Thursday, June 6, 2019 prior to camp.) Indicate if you will need a hotel room for Thursday evening for privates on Friday.
Will you need a hotel for Thursday?
T-Shirt $15 each
For and in consideration of permitting (enter child's name below paragraph) to enroll in and participate in Southeast Camp of Champions in the cities of Watkinsville and Athens, County of Oconee and Clarke, and State of Georgia, beginning on the 6th day of June, 2019, the Undersigned herby voluntarily releases, discharges, waives and relinquishes any and all actions or causes of action for personal injury, property damage or wrongful death occurring to him/herself arising as a result of engaging in or receiving instruction in said activity or activities incidental hereto, wherever or however the same may occur and for whatever period said activities, or instructions may continue, and the Undersigned does for him/herself, his/her heirs, executors, administrators and assigns hereby release, waive, discharge and relinquish any action or causes of action, aforesaid, which may hereafter arise for him/herself and for his/her estate, and agrees that under no circumstances will he/she or his/her heirs, executors, administrators and assigns prosecute or in any way whatsoever, present any claim for personal injury, property damage or wrongful death against Ashley Clark, Katy Tracy, A Talent Company, Athens Academy Schools, Holiday Inn or any of its officers, agents, servants or employees for any of said causes of action, whether the same shall arise by negligence of any of said persons, or otherwise. IT IS THE INTENTION OF UNDERSIGNED BY THIS INSTRUMENT, TO EXEMPT AND RELIEVE SOUTHEAST CAMP OF CHAMPIONS FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE.
Type Childs Name to Confirm Acceptance
The Undersigned, for him/herself, his/her heirs, executors, administrators or assigns agrees that in the event any claim for personal injury, property damage or wrongful death shall be prosecuted against Southeast Camp of Champions, he/she shall indemnify and save harmless the same Southeast Camp of Champions from any and all claims or causes of action by whomever or wherever made or presented for personal injuries, property damage or wrongful death.
The Undersigned acknowledges that he/she has read the foregoing two paragraphs, has been fully and completely advised of the potential dangers incidental to engaging in Southeast Camp of Champions, and is fully aware of the legal consequences of signing the within instrument.
Witness (type name to confirm via digital signature)
Type Today's Date to Confirm
Parent-Guardian (type name to confirm via digital signature)
Payment processing fee
Mail Certified Check or Money Order
Credit Card Number
Card (CVV) Code
Card Holder Name