MEGA Sports Enrollment 2024

MEGA Sports Enrollment 2024

White Clay Creek Presbyterian Church
June 24 - June 28, 2024

9:00am-12:30pm, Monday-Friday
Child Name

First NameLast NameSuffix
Child Gender
Child Birth Date

MonthDayYear
Grade completed end of 2023-2024 school year
School Attended 2023-2024 school year
Mother's Name
Mother's cell number

Area CodePhone Number
Mother's email
example@example.com
Father's Name
Father's cell number

Area CodePhone Number
Father's email
example@example.com
Child's residence

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact

First NameLast Name
Emergency Contact phone number

Area CodePhone Number
Child Release-Name of person(s) authorized to pick up children (also indicate relationship and telephone number)
ID will be required at time of pick up
Child would like to learn/play the following sport:
Child would like to be placed in the same class with:
PLEASE NOTE: Teams are organized with children assigned within appropriate AGE RANGES. Please do not request a child be placed with another child with a more than 2 years age difference.
Church home/affiliation (if any)
Allergies/Medical notes/concerns
Any other concerns/questions
A VBS team member will be in touch to answer any questions.
Would you be willing to be a MEGA Sports VOLUNTEER during the week?

YESNO
By submitting this form, I acknowledge that MEGA Sports photos may appear on the WCCPC website or posted within the church and understand that under no circumstances will children in these photos by identified with names or any personal information. I reserve the right to have any photo that includes my child removed upon request.

Clear
Should be Empty:

MEGA Sports Enrollment 2024

June 24 - June 28, 2024