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507 Soccer Camp Sign Up 2017

Registration Deadline July 1, 2017 - Please call St. Pauls Church after this deadline for possible availability.
Parent first name:*
Parent last name*
Phone number*
Address*
Work Phone (if different)
Emergency contact*
Emergency contact phone number*
Email address*
Church home*
Name of first participant*
Age of first participant*
Grade of first participant*
Health conditions or special needs of this participant that coaches should be aware of?
T-Shirt size for this participant
 Youth - Small
 Youth - Medium
 Youth - Large
 Adult - Small
 Adult - Medium
 Adult - Large
 Adult - XL
 Adult - XXL
Name of second participant
Age of second participant
Grade of second Participant
Health conditions or special needs of this participant that coaches should be aware of?
T-Shirt size for this participant
 Youth - Small
 Youth - Medium
 Youth - Large
 Adult - Small
 Adult - Medium
 Adult - Large
 Adult - XL
 Adult - XXL
Name of third participant
Age of third participant
Grade of third participant
Health conditions or special needs of participant that coaches should be aware of?
T-Shirt size of this participant
 Youth - Small
 Youth - Medium
 Youth - Large
 Adult - Small
 Adult - Medium
 Adult - Large
 Adult - XL
 Adult - XXL
Name of fourth participant
Age of fourth participant
Grade of fourth participant
Health conditions or special needs of this participant that coaches should be aware of?
T-Shirt size of this participant
 Youth - Small
 Youth - Medium
 Youth - Large
 Adult - Small
 Adult - Medium
 Adult - Large
 Adult - XL
 Adult - XXL
Kids must be between entering Kindergarten and 8th grade. They are responsible to bring their own soccer shoes (suggested), shin guards (mandatory!), and sunscreen (highly recommended!). We are providing Soccer Camp Jerseys, water, and daily snacks. To cover expenses, there is a $10 fee per child. Checks can be made out to St. Paul's Lutheran Church. Space is limited first come, first serve.
Total amount
THE PARTICIPANT IS RESPONSIBLE FOR HIS OR HER OWN MEDICAL COVERAGE. NOTICE OF WARNING: There is a potential risk in training and participating in any sport, and we have tried to create a safe environment. The coaches have established rules for participation, and proper conduct on or about the playing field must be followed. BY CHECKING THIS BOX AND SIGNING THIS FORM I AGREE THAT: I have read and understand the policies and the risk involved. I hereby agree that my children will follow all rules for good order and safety during this camp. I agree and understand that neither 507 Soccer camp nor St. Pauls Lutheran Church sponsoring said camp, nor any of the volunteers involved are liable for any injuries received while participating or playing in the activity for which I am registering herein, or for the loss or damage to equipment. I agree that I shall make no claim and bring no action, suit, or proceeding for any and all damages, losses, liabilities, or costs in any manner suffered or incurred as a result of my participating in the activity for which I am registering herein, and I hereby release 507 Soccer Camp and its officers, directors, and pastors, the City of North Mankato, and the Monroe Public School from any and all damages, liabilities, or costs in this regard.pictures on websiteOur website www.stpaulsnorthmankato.com exists to help promote our camp throughout the community. Group pictures and action shots taken at the camp will be used on our website unless we are specifically notified by the parents. Team pictures will be delivered a short time after the camp.*
I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS CORRECT AND COMPLETE. I UNDERSTAND AND AGREE WITH IT.
Enter Parent or Guardian name here as online signature*
Date
PLEASE BE SURE TO MAKE PAYMENT TO ST. PAUL'S LUTHERAN CHURCH AND SUBMIT TO THE CHURCH OFFICE. THANK YOU!


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