Camper's Name *

First Name

Last Name

Camper's Birthday *

MM

DD

YYYY

Sex *

Male

Female

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent's Phone *

Please list a number that you can be reached during camp hours.

(###)

###

####

Camper's T-Shirt Size *

Registration must be made by July 7 to be guaranteed a t-shirt.

Youth Small

Youth Medium

Youth Large

Youth X-Large

Adult X-Small

Adult Small

Adult Medium

Adult Large

Adult X-Large

Adult 2XL

Adult 3XL

Parent's Consent *

I understand that every activity has risk. By agreeing below, I understand that my child will be participating in activities at Sports Camp and injuries might occur. I will not hold Evangelical Presbyterian Church, its staff, or volunteers liable for any injuries. I also will be available by the cell phone number listed above throughout camp hours and be ready to pick up by child by 12 noon each day.

I Agree