2019 Soccer-Bible Saturdays Registration
July 13 and 27, 9:30 to 11:30AM. Children may attend one or both Saturdays.

This camp is for children ages 3-7. If you would like to make arrangements for older siblings to attend, call (906-632-2640). Please send your child with athletic shoes (soccer shoes preferred), shin-guards, and sunscreen. T-shirts will be distributed on your child's first day.

Be ready to pay $10 per child (cash, or check to "Immanuel Lutheran Church") by your child's first day. You must also sign a paper form before your child attends. This paper form will have the information you are submitting on this form, along with the following notice:

THE PARTICIPANT IS RESPONSIBLE FOR HIS OR HER OWN MEDICAL COVERAGE
NOTICE OF WARNING: There is a potential risk in training and participating in any sport, and we have tried to create a safe environment. The coaches have established rules for participation, and proper conduct on or about the playing field must be followed.
AGREEMENT: I have read and understand the policies and the risk involved. I hereby agree that my children will follow all rules for good order and safety during this camp. I agree and understand that neither Immanuel Lutheran Church, nor any of the volunteers involved are liable for any injuries received while participating or playing in the activity for which I am registering herein, or for the loss or damage to equipment. I agree that I shall make no claim and bring no action, suit, or proceeding for any and all damages, losses, liabilities, or costs in any manner suffered or incurred as a result of my participating in the activity for which I am registering herein, and I hereby release Immanuel Lutheran Church and its officers, directors, and pastor, from any and all damages, liabilities, or costs in this regard.
Parent/Guardian(s) Name(s) *
Your answer
Home Address *
Your answer
City, State, Zip Code *
Your answer
Church Membership *
Example: "Immanuel Lutheran Church (WELS)"
Your answer
Home Phone # *
"xxx-xxx-xxxx" or "N/A" if none
Your answer
Cell Phone # *
"xxx-xxx-xxxx" or "N/A" if none
Your answer
Email Address *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Relationship to Child(ren) *
Your answer
Emergency Contact Phone # *
"xxx-xxx-xxxx"
Your answer
Person(s) Picking Up Child(ren) *
@ 11:30AM
Your answer
1st Child Name *
(first and last)
Your answer
1st Child Age *
Your answer
1st Child - Day(s) Attending *
Required
2nd Child Name
(first and last)
Your answer
2nd Child Age
Your answer
2nd Child - Day(s) Attending
3rd Child Name
(first and last)
Your answer
3rd Child Age
Your answer
3rd Child - Day(s) Attending
4th Child Name
(first and last)
Your answer
4th Child Age
Your answer
4th Child - Day(s) Attending
5th Child Name
Your answer
5th Child Age
(first and last)
Your answer
5th Child - Day(s) Attending
Allergies/Medical Conditions *
(Respond "N/A", if none)
Your answer
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