Form Soccer Camp Sign Up 2024 Please Register Your Child(ren) Below. Registration Opens June 1st and lasts until July 14 Child's First Name*Child's Last Name*Child's Date of Birth* Date Format: MM slash DD slash YYYY Child's Age*Child's Grade in Fall 2024*Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradePhone*GenderMaleFemaleParent or Guardian Name*Parent Email*Emergency Contact Name (other than parent)*Emergency Contact phone number*Approved Pick Up People Names*Child's Doctor*Doctor's Phone*Allergies/Medical Concerns:*Note: If your child needs and inhaler or epi-pen please bring it to registration the first day.I'd like my child to be placed on the same team as their friend:T Shirt Size:*Youth MYouth LAdult SAdult MParental/Guardian Medical Consent and Release of Liability Form* I grant permission for the child(ren) listed above to participate in the Laurelwood Baptist Church Soccer Camp. Participation involves the use of outdoor play equipment on the Laurelwood Baptist Church Campus and Vandervort park adjacent to the church. I acknowledge and agree that such participation subjects the child(ren) listed above to the possibility of physical injury. In the event of such injury, I give permission for the Children’s Ministry volunteers to obtain necessary medical treatment for the child(ren) as deemed by a qualified medical professional. In my own behalf, and on behalf of the child(ren) listed above, I hold harmless Laurelwood Baptist Church of whose premises most events will occur.To complete registration, parents need to complete and e-sign this Medical Consent and release of liability form.Parental Signature*Please sign your name, signifying you agreed to the above Medical Consent and Release of Liability FormPhotography Consent Statement* I also give my permission for my child to be photographed and for photographs to be used by Laurelwood for publicity purposes.Parental Signature*Please sign your name, signifying you agreed to the above Photography Consent StatementCAPTCHAUntitledCommentsThis field is for validation purposes and should be left unchanged. Δ
