Sports Camp 2nd Sibling Registration 2018
Sports Camp 2nd Sibling Registration 2018
Child's name  * 
Address  * 
City  * 
State  * 
Zip code  * 
Age  * 
Birthday  * 
Cell phone  * 
Parent/Guardian  * 
T-Shirt size  * 
Sex  * 
Your church name  * 
Member?  * 
Local hospital preference  * 
Family physician  * 
Present medication
I authorize First Baptist Church Sponsors to provide & secure medical care as they deem necessary for the well being of my child and agree that the church and sponsors will not be held responsible for any accident that may occur  * 
Are you covered by insurance?  * 
Name of insurance  * 
Policy holders name.
Policy number
Grade Completed  * 
Your Email Address  * 
Total $
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