NACC Sports Camp 2019
July 22-25 ** $15 per child
Ages kindergarten through 6th grade
Child's First Name *
Your answer
Child's Last Name *
Your answer
Grade child will be entering in the fall of 2019 *
Which sport will your child be participating in?
Parent/Guardian Name *
Your answer
Parent/Guardian contact number *
Your answer
Street Address *
Your answer
City *
Your answer
Zip code *
Your answer
Emergency contact- other than parent/guardian *
Your answer
Emergency contact relationship to child *
Your answer
Emergency contact phone number *
Your answer
Email Address *
Your answer
Allergies *
Your answer
Medical Concerns *
Your answer
Security *
Please list any custody situations, restraining orders or security concerns here or how we can best care for your child.
Your answer
People who will be picking up my child and their relationship to child: *
Your answer
Photography *
May we photograph your child? We photograph events at our church for use in promotional material including but not limited to posting pictures on our church website and Facebook. Children are never identified by name.
Required
Emergency Treatment *
In the event of an emergency and immediate medical attention is necessary, I consent to the church taking action which it deems necessary to secure emergency medical care/treatment for my child.
Required
Parent Signature *
Type first and last name to confirm validity of the information provided and whom to contact if any questions in regards to the information provided.
Your answer
How did you hear about our Soccer Camp *
Payment- You can pay on the first day of Sports Camp with cash or check, OR you can click the link below to be directed to the North Albany Community Church Website where you can pay via our paypal account (Click "Give", then click "Donate" at the bottom of the page)
Thank You!
Your child is now registered for Soccer Camp 2019 at North Albany Community Church. If you have any questions before then, email Children@northalbany.org or Dave@northalbany.org.
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