Mega Sports Camp Registration
July 10-14, 2017 ~ Registration 5:30-6 Event ends at 8:30PM ~ Union Elementary School~ Union ME
Email address *
General Info
Child's First Name *
Your answer
Child's Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Last Grade Completed *
Your answer
Church You Attend
Your answer
*
Sport Selection
Please make sports selection based upon your child's completed grade
Sports Choice for Grades 1-2
Sports Choice for Grades 3-6
*
T-Sheet Size: *
Health
Dietary restrictions *
If you need more space add to Special Concerns below
Required
Special concerns (allergies, medications, medical conditions, ect.) *
Your answer
Contact Info
Parent/Guardians(s) Name *
Your answer
Phone Number *
Your answer
Work Phone
Your answer
In Case of Emergency contact Name *
Your answer
Number *
Your answer
In Case of Emergency contact Name *
Your answer
Number *
Your answer
Waivers and Consent
Photo Release
South Hope Community Church reserves the right to use your child’s picture taken at the Mega Sports Camp for advertising purposes. Please check this box if you do not want your child’s photo used.
Parent/Guardian Consent and Agreement *
In consideration of my child’s (name listed above) opportunity to participate in South Hope Community Church's (SHCC) Mega Sports Camp, I acknowledge and accept the risks of injury associated with participation. I accept personal financial responsibility for any injury or other loss sustained during South Hope Community Church's Mega Sports Camp, as well as for medical treatment rendered to my child that is authorized by SHCC and its leaders, employees, volunteers, or agents. I specifically consent to allowing my child to be transported to receive emergency care and to be responsible for all financial charges for such emergency care. I release and promise to indemnify, defend and hold harmless SHCC, its leaders, employees, volunteers, and agents from any and all injury or loss resulting directly or indirectly from the activities and programs of SHCC whether such injury result from the negligence of SHCC, my child, or otherwise.
Required
Signature of Parent (To be signed upon arrival at camp)
Without Guardian's Signature Child will not be accepted into camp
Your answer
A copy of your responses will be emailed to the address you provided.
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