All-Star Sports Camp 2020 Registration Form

Child's Last Name *

Child's First Name *

Child's Middle Name

Parent/Guardian Name(s) *

Sport's Camp Activity (choose all that apply) *

The activity that my child wants to participate in during the All-Star Sports Camp.Baseball/softballBasketballFootballSoccerArts & craftsCheerleadingDance

Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone Number *

Alternate Number

Email *

School child will attend in the new school year *

IF CHILD'S GRADE IS NOT ONE OF THE OPTIONS BELOW, THEY ARE NOT ELIGIBLE TO ATTEND THE ALL-STAR SPORTS CAMP

Grade child will be in when school starts *

K123456

Church Child Attends

Race

Birth Date (month/day/year) *

Gender *

FemaleMale

Instructions I, the parent or legal guardian, of the child named above, hereby grant my permission for him/her to participate in the All-Star Sports Camp. I acknowledge the fact that he/she is physically able to participate in camp activities. I release the All-Star Sports Camp, its employees, Board of Directors, Volunteers, and/or sponsors from all claims from injuries or illnesses which may be sustained by my child due to any participation, transportation in effect of any other of the activities thereof. I also give my permission for any picture taken during camp of my child to be used in presentations and publicity. I understand that any identifying information such as my child’s name will not be used in the pictures.

Electronic Signature (please type name here) *

Date *

Fieldset

Section

Verification