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Sports Camp 2017 Registration - Visitor
Young Meadows Presbyterian Church
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* Indicates required question
Child's Name
*
Your answer
Current Age
*
Your answer
Date of Birth
*
Your answer
Sex
Female
Male
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Grade completed in May 2017
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Parents Name(s)
*
Your answer
Street Address & Zip Code
*
Your answer
Best Contact Number
*
Best phone number to reach parent
Your answer
Email address
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Phone Number
*
Your answer
Allergies/Special Conditions
Your answer
What brought you to Sports Camp?
*
Advertising
A Friend
Website
Other
Home Church
Your answer
Session One Activity
*
Will be assigned on a first-come, first served basis
Baseball
Volleyball
Art
Session Two Activity
*
Will be assigned on a first-come, first served basis
Basketball
Soccer
Dance
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