2026 Summer Sports Camp Registration — Awaken Christian Academy

Summer Sports Camp Registration — Awaken Christian Academy

Please complete the form to register your child for the camp and review the policies.
Child Information
Child's Full Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Current Grade
Student at Awaken?
Camp(s) Selection(s)
Camp Total
Parent/Guardian Information
Parent/Guardian Name(s)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Communication & Media Consent

Primary communication will be sent via email from the Athletic Director.
Do you give permission for your child to be photographed/videoed for camp use?
Emergency Contact Information
Emergency Contact Name
Relationship to Child
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical Information
Does your child have any medical conditions?
If yes, please explain
Allergies (food, medication, environmental)
Is your child currently taking any medications?
If yes, please list medications
Please list any dietary restrictions or special needs
Any past injuries or physical limitations we should be aware of?
Pickup Authorization
Parent/Guardian Pickup Name(s)
Additional Authorized Pickup Person 1 - Name
Additional Authorized Pickup Person 1 - Phone
Please enter a valid phone number.Format: (000) 000-0000.
Additional Authorized Pickup Person 2 - Name
Additional Authorized Pickup Person 2 - Phone
Please enter a valid phone number.Format: (000) 000-0000.
Insurance Information
Insurance Provider
Policy Number
Parent/Guardian Signature
I understand that summer sports camp participation may include hazardous situations that may expose my child to injuries. I allow my child to participate in this activity with the knowledge of the danger involved and hereby agree to assume and accept any risk of injury.
Signature
Date

MonthDayYear
Date

Payment Amount

USDDescription

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Should be Empty:

Summer Sports Camp Registration — Awaken Christian Academy

Child Information

Parent/Guardian Information

Communication & Media Consent

Emergency Contact Information

Medical Information

Pickup Authorization

Insurance Information

Parent/Guardian Signature

Payment Amount*

Payment Methods

Payment Amount