Mega Sports Camp Registration
St Peter Lutheran Church
June 10 - 14 9am - 12pm
Registration opens
April 1st - May 8th $20 per child (early bird special)
May 9th - May 22nd $25 per child
May 23rd - June 3rd $30 per child (late registration)

Registration closes 4pm on June 3rd - space is limited (to reserve your spot, payment must be received)

Name of Child Participating *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Age *
Your answer
Last School Grade Completed *
Your answer
Gender *
Required
Sports Choice *
Required
Multiple child discount is availble
T-Shirt size *
Guardian(s) Name
Your answer
Home Phone
Your answer
Cell Phone
Your answer
In Case of Emergency contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Special concerns (food or environmental allergies, medications, medical conditions, etc)
Your answer
Name of Parent or Guardian *
Your answer
Date
MM
/
DD
/
YYYY
Signature of Parent or Guardian
Your answer
Please print and sign copy of form and bring to church office with check or money to register your child(ren). Make checks payable to: St Peter Lutheran Church - memo Mega Sports Camp
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