Vacation Bible School - Sports Camp! June 21-24
Please fill out this form and click submit.
Parent Name
*
Name and Age of 1st Child
*
Choose 1 option
*
Please select one option.
Sports Sampler (Soccer, baseball, basketball and Golf)
Cheerleading, Tumbling & Jump Rope
Cooking & Baking
Name and Age of 2nd Child
Choose 1 option
Please select one option.
Sports Sampler
Cheerleading, tumbling and jump rope
Cooking and Baking
Name and Age of 3rd Child
Choose 1 option
Please select one option.
Sports Sampler
Cheerleading, Tumbling and Jump rope
Cooking and Baking
Name and Age of 4th Child
Choose 1 option
Please select one option.
Sports Sampler
Cheerleading, Tumbling and Jump Rope
Cooking and Baking
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
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AS
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BC
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DC
DE
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GA
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IA
ID
IL
IN
KS
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LA
MA
MB
MD
ME
MH
MI
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MO
MP
MS
MT
NB
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NH
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NL
NM
NS
NT
NU
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NY
OH
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ON
OR
PA
PE
PR
PW
QC
RI
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SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
By clicking this box, I, the undersigned parent/guardian, do hereby grant permission for my son/daughter, named above, to attend the camp/clinic. In order that my child may receive the proper medical treatment in the event that he/she may sustain injury or illness during Mega Sports Camp. I hereby authorize the camp staff to obtain or provide medical treatment for my child for such injury or illness during the camp, and hereby hold the staff and sponsoring organization, as well as its representatives, harmless in the exercise of this authority. Understanding that there is always a possibility that my child may sustain physical illness or injury, I acknowledge and understand that my child is assuming the risk of such physical illness or injury by his/her participation, and further release the sponsoring organization and its representatives from any claims for personal illness or injury that my child may sustain during the camp. I further acknowledge and understand that my child will be responsible for his/her failure to abide by the rules and regulations of the camp.
*
Please select all that apply.
Option
Submit
Description
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