Shepherd of the Valley VBS Soccer Camp Registration Form
July 25-27, 2017 for children ages 4-12 from 9:00 a.m. - 11:30 a.m. at Moore Middle School.
Parent or Guardian First and Last Name
Your answer
Emergency Contact Name and Phone Number
Your answer
First Child's Full Name
Your answer
First Child's Age
Required
First Child's T-Shirt Size (Youth Small - Adult X-Large)
Your answer
Second Child's Full Name
Your answer
Second Child's Age
Second Child's T-Shirt Size (Youth Small - Adult X-Large)
Your answer
Third Child's Full Name
Your answer
Third Child's Age
Third Child's T-Shirt Size (Youth Small - Adult X-Large)
Your answer
If You Are Registering More Than Three Children Please Add Additional Name(s), Age(s), and T-Shirt Sizes Here
Your answer
Any asthma, allergy, or medical concerns that we should be aware of?
Required
If "Yes", please list medical concern below
Your answer
Email Address (We will not sell your name, but use it to contact you with camp updates.)
You will also receive a monthly SVL newsletter , but a simple click will unsubscribe you - we promise!)
Your answer
Mailing Address
Your answer
Do you have a home church?
Required
If "Yes", What church do you call home?
Your answer
How did you find out about our soccer camp?
I would like to know more about the preschool, kindergarten, and elementary school at SVL.
I would like to know more about Shepherd of the Valley Lutheran Church.
By checking "Yes", you are giving the above named child(ren) permission to participate in Shepherd of the Valley's VBS activities July 25-27, 2017. You understand that sport and game activities carry inherent risks of injury and that Shepherd of the Valley cannot be held liable for such injuries.
Required
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