Registration Form:
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| Parent/Guardian:
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| (First Name, Last Name)
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| Parent/Guardian:
| (First Name, Last Name)
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| Primary Phone:
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| Secondary Phone:
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| Email Address:
*
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| Street Address:
*
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| City:
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| State:
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| Zip Code:
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| Child #1:
*
| (First Name, Last Name)
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Age/Grade
(Entering this Fall):
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| 3 - 5 year olds Kindergarden 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade
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| Allergies/Concerns:
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| Sport (1st Choice):
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| Sport (2nd Choice):
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| T-Shirt (Optional):
| Each shirt costs $8.00 and includes the name of the camp.
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| Child #2:
| (First Name, Last Name)
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Age/Grade
(Entering this Fall):
| 3 - 5 year olds Kindergarden 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade
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| Allergies/Concerns:
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| Sport (1st Choice):
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| Sport (2nd Choice):
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| T-Shirt (Optional):
| Each shirt costs $8.00 and includes the name of the camp.
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| Child #3:
| (First Name, Last Name)
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Age/Grade
(Entering this Fall):
| 3 - 5 year olds Kindergarden 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade
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| Allergies/Concerns:
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| Sport (1st Choice):
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| Sport (2nd Choice):
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| T-Shirt (Optional):
| Each shirt costs $8.00 and includes the name of the camp.
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| Medical Waiver Form
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| I Understand I, the undersigned parent/guardian, do hereby grant permission for my sons/daughters, named above, to attend the camp. In order that my children may receive the proper medical treatment in the event that he/she may sustain injury or illness during MEGA SPORTS CAMP, I hereby authorize the camp staff to obtain or provide medical treatment for my children for such injury or illness during the camp, and I hereby hold the camp staff and sponsoring organization(s), as well as its representatives, harmless in the exercise of this authority.
I further understand that there is always a possibility that my children may sustain physical illness or injury while at the camp. If this occurs, I hereby authorize the camp staff and representatives to refer my child to a medical treatment center (hospital, etc.). I further acknowledge and understand that I will be responsible for any medical bills that may be incurred on behalf of my son/daughter for physical illness or injury that he/she may sustain during the camp.
Understanding that there is always a possibility that my children may sustain physical illness or injury, I acknowledge and understand that my children are assuming the risk of such physical illness or injury by his/her participation, and I further release the sponsoring organization and its representatives from any claims for personal illness or injury that my children may sustain during the camp. I further acknowledge and understand that my children will be responsible for his/her failure to abide by the rules and regulations of the camp.
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| Video and Picture Release Statement
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| I Understand I understand that while participating in MEGA SPORTS CAMP my child may have his or her picture taken. I give my consistent to allow Westridge Christian Church to use my child’s picture for promotional use only.
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| Additional Comments, Concerns, or Questions:
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| Christian Camp Agreement
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| I understand that MEGA SPORTS CAMP is a Vacation Bible School that will be held at Westridge Christian Church. I understand and acknowledge that my children will be taught Christian beliefs, ideals, and morals during their time at MEGA SPORTS CAMP.
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