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Camper Registration
2022 Sports & Art Camp Registration
Camper Information
Camper's Full Name:
*
First
Last
Gender:
*
Male
Female
Birth Date:
*
Month
Day
Year
Camper T-Shirt Size:
*
Kids will receive their shirts on the first day of camp to wear for the duration of the week.
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
List any allergies or special needs:
*
If none, enter "none."
Parent Information
Name of Parent or Legal Guardian:
*
First
Last
Address:
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
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Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
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Congo, Republic of the
Cook Islands
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Djibouti
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Dominican Republic
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Gabon
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Indonesia
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Isle of Man
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Italy
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Liberia
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Luxembourg
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Madagascar
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Maldives
Mali
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Namibia
Nauru
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New Caledonia
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Niger
Nigeria
Niue
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North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
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Palestine, State of
Panama
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Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
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Qatar
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Rwanda
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Virgin Islands, U.S.
Wallis and Futuna
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Zimbabwe
Åland Islands
Country
Home Phone:
*
Cell Phone:
*
Email address where you'd like to receive confirmation and information:
*
Enter Email
Confirm Email
How did you hear about Sports & Art Camp?
Emergency Contact Information
1st Emergency Contact Name:
*
First
Last
1st Emergency Contact Daytime Phone:
*
2nd Emergency Contact Name:
*
First
Last
2nd Emergency Contact Daytime Phone:
*
Activity Selection
Select One:
*
Team 45: $60, ages 4 & 5 (must be 4 by July 10, 2022).
Basketball: $60, ages 8-12 (must turn 8 by July 10, 2022), ball needed.
Cheerleading: $60, ages 6-12 (must turn 6 by July 10, 2022).
Soccer: $60, ages 6-12 (must turn 6 by July 10, 2022), ball and shin guards needed.
Flag Football: $60, ages 6-12 (must turn 6 by July 10, 2022).
Arts & Crafts: $80 ($20 materials fee), ages 6-12 (must turn 6 by July 10, 2022).
I have a second child to register!
*
Yes
No
Camper Information
2nd Camper's Full Name:
*
First
Last
Birth Date:
*
Month
Day
Year
Gender:
*
Male
Female
Camper's T-Shirt Size:
*
Kids will receive their shirts on the first day of camp to wear for the duration of the week.
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
List any allergies or special needs:
*
If none, enter "none."
Activity Selection
Select One:
*
Note: registration fee is reduced to $40 for additional children within the same family
Team 45: $40, ages 4 & 5 (must be 4 by July 10, 2022).
Basketball: $40, ages 8-12 (must turn 8 by July 10, 2022), ball needed.
Cheerleading: $40, ages 6-12 (must turn 6 by July 10, 2022).
Soccer: $40, ages 6-12 (must turn 6 by July 10, 2022), ball and shin guards needed.
Flag Football: $40, ages 6-12 (must turn 6 by July 10, 2022).
Arts & Crafts: $40 ($20 materials fee), ages 6-12 (must turn 6 by July 10, 2022).
I have a third child to register!
*
Yes
No
Camper Information
3rd Camper's Full Name:
*
First
Last
Birth Date:
*
Month
Day
Year
Gender:
*
Male
Female
Camper's T-Shirt Size:
*
Kids will receive their shirts on the first day of camp to wear for the duration of the week.
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
List any allergies or special needs:
*
If none, enter "none."
Activity Selection
Select One:
*
Note: registration fee is reduced to $40 for additional children within the same family
Team 45: $40, ages 4 & 5 (must be 4 by July 10, 2022).
Basketball: $40, ages 8-12 (must turn 8 by July 10, 2022), ball needed.
Cheerleading: $40, ages 6-12 (must turn 6 by July 10, 2022).
Soccer: $40, ages 6-12 (must turn 6 by July 10, 2022), ball and shin guards needed.
Flag Football: $40, ages 6-12 (must turn 6 by July 10, 2022).
Arts & Crafts: $60 ($20 materials fee), ages 6-12 (must turn 6 by July 10, 2022).
Liability/Photo/Video Release
I, as a parent or legal guardian of the registered child(ren), grant permission for the registered camper(s) to attend BE Free Sports and Art Camp. I do hereby release Branford Evangelical Free Church (BE Free Church) from any and all liability or responsibility due to any injury that he/she/they/I may incur as the result of, or arising in any way from participation in activities at or under the direction of BE Free Sports and Art Camp. I am fully aware and consent to accept these risks and voluntarily agree to allow his/her/their participation in activities. If I cannot be consulted in an emergency, I hereby give permission to the physician selected by a representative of BE Free Sports and Art Camp to hospitalize, secure treatment for, and to order injections, anesthesia, and/or surgery for the person(s) named above. I understand that BE Free Sports and Art Camp only carries secondary insurance and that I will take primary responsibility for any fees or charges at any clinic, facility, or hospital arising from treatment of injury or illness. I furthermore understand BE Free Sports and Art Camp often takes photographs or videos of participants during its activities or events. I grant permission without compensation that these photographs or videos may be used in publications, presentations, websites or promotion of BE Free Sports and Art Camp or BE Free Church. BE Free Sports and Art Camp will not identify me or my child(ren) by name or release any other personal information without additional written consent from me.
Electronic Signature
*
Total
$0.00
Coupon
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