Sports & Arts Camp Registration

2025 Sports & Arts Camp

Hosted by the XStream Youth Group
May 27-30 9 am - 12 pm

Evangelical Free Church of Eaton 1325 3rd Street
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone*

Area CodePhone Number
Alternate Phone

Area CodePhone Number
Email Address:
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*

Area CodePhone Number
Physician Name*
Physician Phone Number*

Area CodePhone Number
Relation to Child(ren)*

FatherMotherGuardianOther
Child Information
Name of child*

First NameLast Name
Birthdate*

MonthDayYear
Date
Biological Gender*

MaleFemale
Age Group: (Grade most recently completed)*

Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade
Does your child have any food allergies or medication concerns we should know about?*
Is your child allowed to walk home after camp?*

YesNo
Camp preference

SportsArt
Register another child?*

YesNo
Should be Empty:

2025 Sports & Arts Camp