Sports Camp Registration

July 28-30 from 9:00 am - 3:00 pm

FOR BOYS AND GIRLS:
Ages 6-12

ENJOY THESE SPORTS:
Basketball, Soccer, Football and Cheerleading

FEATURING:
Christian Coaches, Quality Sports Instruction, Positive Role Models, Daily Bible Times, Skits and Fun

COST:
$74

EVERY CAMPER RECEIVES:
A Camp T-shirt • Camp Literature • Daily Bible Studies

REGISTRATION:
To register, please submit your information and payment below or stop by Elements Bookstore at Southeast Christian Church.

QUESTIONS?
Contact John Leinweber, Sports Director
Phone: 720.842.5565, Email john.leinweber@sechristian.org

General Information

Child's First Name*

Child's Last Name*

Check One*
Male
Female

Age

Birthdate*

Grade

Sport Camp you are registering for:

T-Shirt Size*

Address*

City*

State*

Zip*

Parent(s) Name*

If you would like to get involved in coaching or helping out with Sports Camp, please check this box and we'll contact you!

Home Phone Number

Cell or Daytime Phone*

Emergency Contact Name*

Emergency Contact Phone Number*

Allergies

Health Issues

Email Address*

Medical and Liability Release

We realize that no activity is without the possibility of unforseen hazards which could result in injury to an individual. As a parent or guardian, you are to be aware of your responsibility to instruct your child of the importance of conduct which will insure safety and enjoyable time while participating in this activity. By clicking below, you, as a parent, guardian or other responsible party, agree to assume the risks and hazards which are inherent in this kind of activity. You also agree to absolve and hold harmless the sponsoring organizations and their representatives for damage, loss, or injuries to the child for whom you sign.

I further give my permission for the use of any photo or likeness of my child to be used by the sponsoring organizations for their use in promotional materials.

I give my child permission to participate in this activity, and give my permission to the leaders of this function to authorize any treatment deemed necessary by a licensed physician due to accident or illness during this activity.*

I AgreeI Do Not Agree

Full Parent/Guardian Name*

Date*

If you attend church, which one?

Comments

Note: By clicking "submit" below, you will be directed to the final step of registration, online payment. This is through the Southeast Online Bookstore. If online payment is not completed, you will not be successfully registered for Upward.

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