Chinese Baptist Church June, 2017 Kids Soccer Camp Registration Form
The CBC Kids Soccer practices will be held Monday through Friday during the month of June in the Family Life Center (FLC). All kids ages 5 to 11 years old are welcome. For more information, please contact Davi Gomes at davigomes26@hotmail.com.
PLAYER INFORMATION
Player Name:
Your answer
Date of Birth:
MM
/
DD
/
YYYY
Age
Your answer
Name of Parents
Your answer
Legal Guardian
Your answer
Address
Your answer
Telephone Number:
Your answer
Email Address:
Your answer
Emergency Contact
Emergency Contact's Name:
Your answer
Relationship to Player
Your answer
Telephone Number:
Your answer
Does the player have any allergies, chronic illness or medical conditions that would limit high level activities?
If you selected "yes", please list medical conditions from previous question. For "no", type "none":
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms