2019 Soccer Camp Registration
If you plan on registering more than one child, first of all... GREAT!
Secondly, we ask that you fill out ONE FORM PER CHILD. It helps us stay organized. If we want to help with this event, please contact the office. We want to do what we can to remove any obstacles that might keep your child from participating.

Once this registration is completed you will receive a confirmation. The only other form will be a release that will need to be signed in person the day of arrival. Thank you!

WHEN: June 3-6 2019 10am - noon
WHERE: Cottonwood Park S 12th St, Bismarck
COST: $20 per child (which includes a water bottle and soccer ball to keep)
Contact Our Saviour's at (701) 255-1039 or pastor.moldenhauer@gmail.com

Registering *
Last Name *
Your answer
First Name *
Your answer
Age *
Are there any allergies that we should be aware of? *
Your answer
Address *
Your answer
Phone Number *
Your answer
Email *
Your answer
Emergency Contact *
If different from the one above
Your answer
Please list the people authorized to pick up your child. *
These are people you allow to check out your child from camp. They must provide a photo ID
Your answer
Where did you learn about our soccer camp? *
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