2024 Sports Camp

Child's Name

Birthdate (NEED CORRECT DOB PLEASE)

Allergies?

Special Instructions

Parent's Name

This address will receive a confirmation email

Phone

Address

Emergency Contact Name

Emergency Contact Phone Number

TEAM 56 is our specially designed motor skills program for our youngest campers.

My child is aged 5 or 6

Yes No

My child is aged 7-12 and would like to participate in:

PERMISSION

I give my permission for him/her to participate in Sports Camp Activities (including transporting tennis players) and I release Grace Baptist Church staff and volunteers from liability in case of injury or harm that may occur during or due to my child’s participation. I authorize the GBC staff or persons to provide my child emergency medical care and to transport him/her to and from the hospital. I agree to pay for all charges that are a result of such treatment.

I give my consent for the Grace Baptist staff or persons who have been given permission by the Grace Baptist staff to use photos, videos and/or audiotape that feature or include my child and to use work down by my child as will as my child’s first name for the purpose of publicizing and promoting Grace Baptist Church ministry. I understand that these images, text, or recordings may be published in newspapers, magazines, or on the World Wide Web, may be broadcast on television or radio, and/or may be presented in Grace Baptist informational or promotional materials or presentations.

Yes No

T-shirts

List the amount and sizes of shirts here - YS, YM, YL, YXL, S, M, L, XL, XXL

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

2024 Sports Camp

Description

Please Fix the Following