GCA Youth Sports Event Registration Form
Please submit a separate form for each child you wish to register.
Email address *
What sport event are you registering for? *
Child's First Name *
First name.
Your answer
Child's Last Name *
Last name.
Your answer
Child's Birthdate *
Format: mm/dd/yy
Your answer
Child's Age *
Grade Completed *
Name of Child's Parent(s)/Guardian(s) *
Please enter full name(s).
Your answer
Street Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Home Phone *
Example: 215-555-5555
Your answer
Emergency Contact - Name and Phone/Cell # *
Your answer
Signed Waiver
I understand that I must have a signed waiver on file with the church office to participate in any event at Germantown Christian Assembly.
For Soccer Event ONLY
What is the child's T-shirt size?
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