Registration Form

Registration Form

To book for a place in the the camp, you must complete the form below.
Parent Name

First NameLast Name
Home Phone Number
Mobile Number
Email Address
example@example.com
Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child 1
Name

First NameLast Name
Gender
Birth Date

MonthDayYear
Child 2
Name

First NameLast Name
Gender
Birth Date

MonthDayYear
Child 3
Name

First NameLast Name
Gender
Birth Date

MonthDayYear
Child 4
Name

First NameLast Name
Gender
Birth Date

MonthDayYear
Please provide any medical or dietary restrictions the children may have
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Relationship to Student
I give permission to LCC and its staff to acquire medical care in the case of an emergency for the child(ren) named above and I release LCC, its staff and representatives from all liability in the event of accident, injury or emergency. I give permission & waive compensation for photos. Enter digital Signature below:

0/300
We're excited to welcome your kids for Mega Sports Camp! An amazing time of fun, friends, sports, snacks, music, crafts, Jesus & so much more. Drop Off 8:45-9am Pick up 12-12:15pm Sunscreen & Clothes - Dress for outdoor sports activities All staff & volunteers are background checked You will receive a confirmation email Call LCC with any questions you may have @ 406.222.3144
My Products
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Family Cost
Capped for families with more than 3 children

$30.00



Suggested Donation per Child
$10.00 Quantity



Will pay at Door
$ Free Quantity



Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty:

Registration Form

Child 1

Child 2

Child 3

Child 4

Emergency Contact Information