For His Glory Athletic Program
General Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
Age
Please attached Birth Certificate.
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Email
example@example.com
Grade
Name of School
School Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please attach most recent Report Card.
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Parent/Guardian Name
First Name
Last Name
Parent/Guardian Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.
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Athlete Details
Please choose 1 sport of interest.
Football
Basketball
Baseball
Soccer
Name of Camp
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Camp Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is lodging included
Yes
No
Registration Fees
Link to Camp Website
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Short Essay
Below please write a short essay describing your passion for the sport of your choice and the importance of attending this athletic camp.
Submit
Should be Empty: