FC Sarum Camper Registration 2025

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Email *

Camper's First Name *

Camper's Last Name *

Camper's Birthday *

YYYY

Age At Time of Camp *

Camper's Gender *

Male

Female

Non-binary

Prefer not to say

Session I Signup

Full-Day July 7-11

Half-Day July 7-11 (Ages 6-9 only)

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Session II Signup

Full-Day July 14-18

Half Day July 14-18 (Ages 6-9 only)

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Parent's First and Last Names *

Parent's Phone Number *

Home Address *

Town *

State *

Zip Code *

I understand that I need to send in a Health Form and Payment separate from this registration form *

I understand

Required

I give permission for FC Sarum Staff to take photographs and/or video of my child. I grant full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for publicity. Note: we will not use camper's names in any form. *

I give permission

Emergency Contact Name *

Emergency Contact Phone Number *

Please let us know if there is any additional information we need to know

A copy of your responses will be emailed to the address you provided.

Submit

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