St. John's Baptist Church Summer Sports Camp
July 8-12, 2024
5:45pm-8:15 pm

STUDENT REGISTRATION FORM
Pastor Contact: Pastor Kristen Old 757-427-5309 or Duncan.STJBC@verizon.net
Sign in to Google to save your progress. Learn more
Email *
Child's Name
Child's Age
Child's Date of Birth
MM
/
DD
/
YYYY
Child's Grade (Completed) 
Parent/Guardian's Name (s)
Home Phone Number
Mobile Phone Number
Address
Preferred Contact Method
Emergency Contact 1 and Phone Number
Emergency Contact 2 and Phone Number
Allergies or Special Needs
During the course of Sports Camp, we will take photos of the children to be used on promotional materials, social media, video at the end of the week, website, etc. We will never associate a child's name with the photo. Do we have permission to take your child's photo and use it for the above purposes? (If not, it will NOT affect your child's ability to participate in any of the sports camp activities.) 
Clear selection
Who may pick up your child at the end of each Sports Camp Day? What is their relationship to the child? Please list anyone who will be picking up your child. 
Please pick two of the following track times
Each Child will receive a T-shirt to wear on the last day of camp. 
Clear selection
Parent/Guardian Digital Signature and Date
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google.