FBC Richland |  2019 Sports & Art Camp Registration Form

June 24 - 28 | 6:30-8:30 pm

K5-6th Grade (Completed)

FREE! 

Please complete one form for each child.

Child's Name: 

Birth Date:

Grade Just COMPLETED: 

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Please list any allergies:

Pick your top 3 choices for sports that you would like to particpate in.  (1st, 2nd and 3rd Choices):

  • 1st Choice:

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  • 2nd Choice:

  • 3rd Choice:

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No, you do NOT have my permission to use my child's picture in VBS videos and publicity.

First Name:

Last Name:

Street:

City:

State:

Postal Code:

Phone Number:

Email:

Emergency Contact Name and Phone Number: