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Sports Camp Registration Form


Children's Names Who Will Attend

Child 1  First Name Last Name   

Grade (Sept. '10)   Gender  

Birth Date (Month/Day/Year)   Sport     

Were you invited by a friend from Willow Creek or North Sub Church?

If yes, list friend's first and last name

Allergies/Health Issues/Special Needs

T-Shirt Size   


Child 2  First Name Last Name  

Grade (Sept. '10)   Gender  

Birth Date (Month/Day/Year)   Sport     

Were you invited by a friend from Willow Creek or North Sub Church?

If yes, list friend's first and last name

Allergies/Health Issues/Special Needs

T-Shirt Size   


Child 3  First Name Last Name  

Grade (Sept. '10)   Gender  

Birth Date (Month/Day/Year)   Sport     

Were you invited by a friend from Willow Creek or North Sub Church?

If yes, list friend's first and last name

Allergies/Health Issues/Special Needs

T-Shirt Size   


Contact Information

Parents' First and Last Names  

Street Address      

City    State Zip

Home Phone    Email

Number you can be reached at during camp

2nd Emergency Contact number during camp

Church Name

Medical and Liability Release   

We realize that no activity is without the possibility of unforeseen 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 selecting "Yes," 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 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 agree to the Medical and Liability release

Be advised that photos will be taken during camp and may be posted on our church website.

Cost

Registration Fees can be paid online!

After you click "Submit," return to the home page to pay the registration fee online. Write "Sports Camp" in the Notes section. Early Bird Fee is $25/child with a $75 family maximum. After May 1st, cost is $35/child and $90 family maximum. (The cost includes a t-shirt, take-home materials, excellent sports training, prizes, and a hardy snack.) 

If you choose to submit a check, make it payable to North Suburban Church and mail it to the church address: 200 Lake Cook Road, Deerfield, IL 60015 or you can drop it off at the Children's Ministry Counter at North Suburban Church.

 

 

North Suburban Church, 200 Lake Cook Road, Deerfield, IL 60015
Phone: 847.945-4630 Fax: 847.945-0097

Email: northsubkids@northsubkids.com