| Schedule | Registration | Directions and Info |
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SILENT WEEKEND REGISTRATION FORM . In consideration of my being allowed to participate in the “Silent Weekend” sponsored by Columbus State Community College (CSCC), I hereby release CSCC from all responsibility for any injury which occurs to me or to any of my property while I am involved as a guest in this activity. I also consent to CSCC using any photographs or video of me at the activity for public relations or related purposes. I further agree to pay to CSCC any sum of money that CSCC may be compelled to pay because of my participation in the above named activity.
CIRCLE all that apply: HEARING DEAF CURRENT CSCC STUDENT OTHER _____________
To help us order shirts and correct sizes: I am interested in buying the SW 106 Shirt. Yes No Size ______ Shirts will be available at the camp registration table. Pay when you pick it up.
Signature _________________________________________________date _____________
PLEASE PRINT: Name ____________________________________ (as you want it on your name tag) Address ________________________________________________________________________
Phone ___________________________ TEXT VOICE e-mail ___________________________
Mail this form and $25 to: Gayle Murphy - 211 Union Hall, Columbus State Community CollegeP. O. Box 1609, Columbus, OH 43216-1609(PLEASE write checks to C.S.C.C.)
SORRY, no refunds. Confirmation? Once you have mailed your registration form and $ you will NOT receive any confirmation. You WILL be notified (and $ returned) if your application was not accepted. Watch the website for “FULL” status notification! www.silentweekend.com
Note: Silent Weekend is open to anyone, but camp capacity is limited. Registration priority is given to current CSCC students & Deaf.
Please fill out this registration form completely! |