Sports Camp Registration Sports Camp Registration 2019 Child's Name*Gender Boy Girl Parent / Guardian Name*Address*(street address, city, state, zip)Mailing Adress(if different)Phone (Home)*Phone (Work)Phone (Cell)Email Child's Date of Birth*Last Grade Completed in School*Choose which camp you are interested in participating.* Basketball Camp Cheerleading Camp Registration FeePlease give T-shirt Size* Child Small Child Medium Child Large Adult Small Adult Medium Adult Large Adult X-Large Adult XX-Large Medical Information PLEASE LIST ANY ALLERGIES*Medical or other information we need to know. (Please include any food allergies.)Emergency Contact other than listed above*Emergency Contact 1 Phone*Emergency Contact 2 other than listed above*Emergency Contact 2 Phone*Dismissal Information*Who may pick up your child at the end of Sports Camp each day?Does your child attend Sunday School? If so where?*If your child is visiting our church, who is he/she a guest of?*May we have permission to use your child's photograph for the purpose of promotion?* Yes No Thank you for registering with Loris First Baptist ChurchWhen you submit this form you will be re-directed to Pushpay where you may prepay your child's $20.00 Registration Fee. Thank You!