Soccer Camp Registration

Parents or legal guardians will be asked to sign a brief release form for those children wishing to participate in the soccer camp. You may print out, sign, and hand in the following document on May 9th: Soccer Camp Release Form.

Parent/Guardian Information

Parent/Guardian's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

Emergency Phone

(###)

###

####

Who, other than you, is authorized to pick up your child/children?

Children

Child's Name

First Name

Last Name

Grade

2014-15 school year

T-Shirt Size

2nd Child's Name

First Name

Last Name

Grade

2014-15 school year

T-Shirt Size

3rd Child's Name

First Name

Last Name

Grade

2014-15 school year

T-Shirt Size

Allergies

Does your child/children have any allergies or special needs we should be aware of?

Child Care

Number of Children

Child care will be provided at church for children pre-school age through Kindergarten. Please list the number of children you wish to be cared for by our qualified staff during soccer camp.