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Athletes in Action
Soccer Camp Registration
Child First Name:
Child Last Name:
Birthday:
Health Care #:
Sex
Boy
Girl
Age:
Completed Grade:
Allergies, Medications, Conditions?:
Cell #:
Cell # (2):
Mailing Address
City
Province
Postal
Parent/ Guardian Name(s):
Email(s):
Home Church (if applicable):
Would you like more informtion about West Zion an it's programs?
Yes
No
Emergency Contact Name:
Emergency Contact Cell:
Please list anyone other than yourself authorized to pick up your child from soccer camp:
How did you learn of Soccer Camp?
Church
Poster
Friend
Social Media
On Thursday night, at 6pm, you and your family are invited to join us for an Awards BBQ at the soccer field. This is a great time for your child to show off the skills they have learned during the week. Please let us know how many from your family plan to attend this event and any food allergies that we should be aware of?
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