2018 Summer Sports Camp June 18-22

Please fill out this form and click submit.

Participant's Name

*

Parent/Guardian Name

*

Address

*

Phone

*

Email

*

This address will receive a confirmation email

Participant's Birthday

*

Last Grade Completed

*

Allergies, Medical. Special Needs

Emergency Contact Name

*

Emergency Contact Number

*

Authorized Pick-Up

*

Participant's Name - Child 2

Participant's Birthday

Last Grade Level Completed

Allergies, Medical. Special Needs

Participant's Name - Child 3

Participant's Birthday

Last Grade Level Completed

Allergies, Medical. Special Needs

Participant's Name - Child 4

Participant's Birthday

Last Grade Level Completed

Allergies, Medical. Special Needs

Available Track Options

***Track selections are based on the grade child has just completed***

1st and 2nd Grade Tracks

Track 3
Bible Story
Field Games
Basketball
Flag Football
Snacks

Track 4
FULL

Track 5
FULL

3rd and 4th Grade Tracks
Track 6:
FULL

Track 7:
FULL

Track 8:
Archery
Soccer
Snacks
Bible Story
Field Games

5th Grade Tracks
Track 9:
Bible Story
Ninja Course
Archery
Field Games
Snack

Track 10:
Snack
Archery
Ninja Course
Basketball
Bible Story

Desired Track Option

*

Please select one option.

Track 3 Track 8 Track 9 Track 10

Desired Track Option- Child 2

Please select one option.

Track 3 Track 8 Track 9 Track 10

Desired Track Option-Child 3

Please select one option.

Track 3 Track 8 Track 9 Track 10

Desired Track Option- Child 4

Please select one option.

Track 3 Track 8 Track 9 Track 10

Do you attend church? If so, where?

May we have permission to photograph your child?

*

Description

Please fill out this form and click submit.

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