Camp of Champions Registration
Kid's of Grace, a ministry of Grace Fellowship of Amador, is excited to announce its 2018 Camp of Champions Soccer Camp!!
Are you ready to get in the game?!
Name and information *
First and last name of child attending:
Your answer
Grade entering: *
Birthday: *
Please include month, day and year.
MM
/
DD
/
YYYY
Age as of June 11: *
Your answer
Address: *
Please include city & zip
Your answer
Does child attend Sunday School? *
Name of Home Church
If applicable
Your answer
Soccer Player's shirt size *
Medical information *
Please include any food allergies. Simply put N/A if none.
Your answer
Name of Health Insurance. *
Your answer
Policy Number of Health Insurance. *
Your answer
Policy Holder of Health Insurance. *
Your answer
WAIVER OF RESPONSIBILITY *
I/we release Grace Fellowship Church and any volunteers or associates of liability for any and all injuries during June 11-14, 2018 for Soccer Camp 2018. I hereby consent to any medical or dental treatment deemed necessary in the event of an emergency during any activity sponsored by Grace Fellowship Church. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my child.
Type name and date as an electronic signature to this waiver. *
Your answer
Parent information *
Parent/guardian name
Your answer
Home phone *
Your answer
Cell/Work Phone *
Your answer
E-Mail Address *
Your answer
Address: *
Please include street, city and zip.
Address if different than child's *
Please include street, city and zip.
Your answer
Emergency Contact Name: *
Your answer
Relation to child: *
Your answer
Home Phone: *
Your answer
Cell/Work Phone: *
Your answer
Authorized Person(s) to Pick Up Child *
Your answer
I would like to volunteer to help in any way I can!
All our volunteers must be Livescan fingerprinted with Grace Fellowship Church. If you would like to help with Camp of Champions, please plan on joining us for Livescan Fingerprinting on Sunday, June 3 at 12 noon in the Grace Library.
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