MINI Soccer Camp for Christ (SK-Gr 2) Registration 2018
July 3-6 at Grace Christian Reformed Church, 255 Tweedsmuir Ave W, Chatham
Tuesday-Friday from 9am-12:00pm
Saturday from 9am-11:30am, at Grace CRC, beginning with BREAKFAST
*You must pick up your child before 11:30am on Saturday*
Registration must be confirmed by $25 e-transfer to sc4cchatham@gmail.com, password: Soccer18 AFTER receiving an email from us that space is available.
Children must be entering SK-grade 2 to be eligible for MINI Soccer Camp 4 Christ 2018
Please fill out one form per child
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Birthday *
MM
/
DD
/
YYYY
Grade in September 2018 *
Gender *
Address *
Your answer
City *
Your answer
Postal Code *
Your answer
Parent(s)/Guardian(s) name(s) *
Your answer
Primary Phone Number *
Your answer
Phone number in case of emergency *
Your answer
Work Phone Number
Your answer
Alternate Emergency Contact Person and Phone Number
Your answer
Primary Email address
Your answer
Would you like to receive occasional email updates from sc4cchatham@gmail.com regarding next year's camp and other community church events?
T-Shirt Size *
Pick up Authorization: Who will be picking your child up?
Your answer
Pick up Concerns: Should we be aware of someone who MAY NOT pick up your child from Soccer Camp for Christ?
Your answer
Has your child ever had or currently have? (choose all that apply)
Has your child had any of the following in the past year?
Please list any allergies
Your answer
If your child is taking medication, please list any that we should be aware of
Your answer
If your child requires medication during the camp day, please note that SC4C personnel are not able to administer any medications to a child. Who will be authorized to provide medication for your child?
Your answer
Does your child struggle with any behaviour challenges? Does your child have any behaviour challenges that would require additional supervision?
Your answer
Behaviour Expectation Policy: If a child is struggling to participate well in his or her team at soccer camp, his or her team leader will ask one of our designated Head Coaches to assist the child until the issue can be resolved. If the issue cannot be resolved after 15 minutes of one-to-one assistance with a Head Coach, the Camp Director will contact the child’s parent/guardian and ask that the child be picked up from camp as soon as possible. The child may attend camp the next day. I have read, understood and agree with this policy. *
Required
Does your child regularly attend church?
If your child regularly attends church, please list which church:
Your answer
Saturday BREAKFAST: On July 7 at 9:00am, there will be a Pancake Breakfast at Grace CRC, 255 Tweedsmuir Ave West. Friends and family are very welcome! Please indicate how many persons will be attending the Breakfast (including the child registering for camp). If you are filling out registration forms for more than one child, please include all guests on just one form.
Financial Assistance: I am in need of financial assistance from the churches for the cost of soccer camp
Payment Information: We will again be accepting e-transfers to cover the registration fee. AFTER we confirm that there is a spot available for you, please send your e-transfer to sc4cchatham@gmail.com and use the password: Soccer18 If you cannot use e-transfer, please comment below and bring payment to Grace CRC during office hours.
Your answer
Protecting your Personal Information: Your child's health and personal information is collected to ensure the safety and well-being of each person involved in our camp ministry. This information will only be seen by our camp volunteers and will be kept in a secure place. I have read and understood this explanation. *
Medical/Video/Photography Authorization: I hereby authorize the staff and volunteers of the Soccer Camp 4 Christ to make any and all decisions regarding the emergency treatment of my child. I also hereby authorize the staff of the Soccer Camp 4 Christ to take video and still photos of my child during camp. I have read, understood and agree with the above and hereby release and discharge all parties associated with this camp from any and all claims, demands, actions, and causes of action, that I/we or my/our child(ren) incur(s).
Registration Policy: There are limited spots available at Soccer Camp for Christ. Registration will be first come, first served. You will be notified that a spot is available for you, or that you are on the waiting list, when you have submitted this form. You will receive confirmation of camp registration if your etransfer payment or other arrangement is made within ONE WEEK. I have read, understood and agree with the above statement. I understand that submitting this form does not guarantee a spot for my child at soccer camp. *
Required
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