2026 Sports Camp Registration Yuba City

2026 CitySports Camp Registration - Yuba City
Attendee Type
Matches the numeric attendee type in PCO
Location
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email
A copy of this signed form will be emailed to this address.
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Can we text you updates and reminders about this and other events?
You are consenting to receive reminders and announcements via text message from Citywalk Church. Text message frequency varies, and message and data rates may apply. Reach out to info@citywalkchurch.com with questions. Reply STOP to unsubscribe from messages.
CitySports Camp is free for every family. We ask for a $10 deposit per child just to hold your spot, and we’ll refund it back to your card after your child attends any day of camp.
Children
This extracts the number of children from the Stripe widget to pass to the webhook

How many children are you registering for camp?

Athlete Deposit

$10.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Full Name of First Child

First NameLast Name
Any medical notes, allergies or special accommodations we should be aware of?
Gender
Date of Birth

MonthDayYear
Grade just completed?
T-Shirt Size?
Full Name of Second Child

First NameLast Name
Any medical notes, allergies or special accommodations we should be aware of?
Gender
Date of Birth

MonthDayYear
Grade just completed?
T-Shirt Size?
Full Name of Third Child

First NameLast Name
Any medical notes, allergies or special accommodations we should be aware of?
Gender
Date of Birth

MonthDayYear
Grade just completed?
T-Shirt Size?
Full Name of Fourth Child

First NameLast Name
Any medical notes, allergies or special accommodations we should be aware of?
Gender
Date of Birth

MonthDayYear
Grade just completed?
T-Shirt Size?
Full Name of Fifth Child

First NameLast Name
Any medical notes, allergies or special accommodations we should be aware of?
Gender
Date of Birth

MonthDayYear
Grade just completed?
T-Shirt Size?
In case of an emergency, we will try to contact you first. Please list the name and number of someone else we can try to contact, if you are unreachable.
Emergency Contact

First NameLast Name
Emergency Contact Number
Please enter a valid phone number.Format: (000) 000-0000.

Minor Participation Authorization and Consent to Emergency Medical Treatment Form
I, the undersigned, certify that I am the parent or legal guardian of the following child(ren):
First Child Name (Consent)
Second Child Name (Consent)
Third Child Name (Consent)
Fourth Child Name (Consent)
Fifth Child Name (Consent)
(hereafter the “minor child” or "My Child").

I hereby give my consent to have my minor child participate in the following activity of CITYWALK CHURCH: CitySports Camp (hereafter “the activity”) on or about July 13-17, 2026.

I recognize that there are risks involved in participating in this activity and hereby assume all risk of injury, harm, damage, or death to my minor child in connection with his/her participation in this activity.

To the fullest extent permitted by law, I release CITYWALK CHURCH, its trustees, officers, directors, employees, agents and representatives from any injury, harm, damage or death which may occur to my minor child while participating in the activity and agree to save and hold harmless CITYWALK CHURCH, its trustees, officers, directors, employees, agents and representatives from any claims arising out of my minor child’s participation in the activity.

Further, being the parent or legal guardian of the minor child, I do consent to any medical, surgical, x-ray, anesthetic, or dental treatment that may be deemed necessary for my minor child. I understand that efforts will be made to contact me prior to treatment but, in the event I cannot be reached in an emergency, I give permission to the activity leader to make the decisions necessary for treatment. Should there be no activity leader available, I give permission to the attending physician to treat my minor child. As parent or legal guardian, I understand that I am responsible for the health care decisions of my minor child and agree that my insurance plan is the primary plan to pay for the medical, dental, or hospital care or treatment that is given to my minor child. Any insurance policy of the church or organization sponsoring this event will be used as the secondary coverage.

By participating in this activity, I grant Citywalk Church my permission to use photographs and videos of My Child, or in which My Child appears in whole or in part for any legal use, including but not limited to: social media, web and print marketing.
Parent/Guardian Signature
Today's Date

MonthDayYear
Date

Citywalk Church Allergy Policy
We want every child in our care to have a great time at CitySports Camp. The following procedures are in place to prevent accidental allergic reactions while your child is attending CitySports Camp.
- Our registration process asks parents/guardians to list any allergies their child has.
- Every day at check-in, our team verifies we have the correct allergy information on file.
- All allergies are printed directly on the child’s name tag, and we add a colored dot to the name tag for easier identification.
- Our refreshments team has specific allergy-friendly snacks that are given directly to each student with a corresponding tag.
- Epi pens can be labeled with your child's name and left with our nurse.
I acknowledge the allergy policy
Should be Empty:

2026 CitySports Camp Registration - Yuba City

How many children are you registering for camp?*

Minor Participation Authorization and Consent to Emergency Medical Treatment Form

Citywalk Church Allergy Policy

How many children are you registering for camp?