REGISTRATION FORM MEGA SPORTS CAMP- VBS
July 26th, 2025- If you have any trouble filling out this form, please call (936) 234-1686.
Athletes Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Athletes Age
*
Athletes Grade
*
(what grade they will be going in to this school year)
Gender
*
Male
Female
SPORTS CHOICE
*
Soccer
Basketball
Cheerleading
Please bring a water bottle labeled with your childs name and closed toed shoes! Thank you!
Guardian Name(s)
*
Relationship to Child
*
Phone (primary)
*
Email
*
example@example.com
Emergency Contact 1
*
Phone
*
Emergency Contact 2
Phone
SPECIAL CONCERNS (Allergies)
*
Medical Concerns
Guardian Printed Name
*
Guardian Signature
*
Date
*
/
Month
/
Day
Year
Date
2024
by Salubris Resources, 1445 N.
Boonville
Ave.,
Springfield,
MO 65802.
Permission
to duplicate for individual camp use.
Submit
Should be Empty: