Mega Sports Camp at Cornerstone Registration Form

Mega Sports Camp at Cornerstone Registration Form

To register your child, please fill out the following information.
Child Information
Child's Full Name

First NameLast Name
Age
Grade (2026-2027 School Year)
Gender
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian Information
Parent/Guardian's Full Name

First NameLast Name
Relationship to Child
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Information
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Special Concerns (allergies, medical, or other)
Parent/Guardian Consent, Emergency Medical Authorization, and Acknowledgment of Risk

By submitting this form, you are agreeing with the written statements below.
The event includes active/contact sports such as basketball, soccer and volleyball. I understand that these activities carry inherent risks, including but not limited to bumps, bruises, scrapes, slips, and falls.
I grant Cornerstone Assembly of God permission to use photographs of my child taken at the event for promotional purposes.
I agree that my child must follow all safety rules and staff instructions. I confirm my child is physically capable of safely participating.
In the event of an emergency, I authorize the event staff to secure medical treatment for my child. I accept financial responsibility for this care.
Parent/Guardian Printed Name
Date

MonthDayYear
Date
Should be Empty:

Mega Sports Camp at Cornerstone Registration Form

Child Information

Parent/Guardian Information

Emergency Contact Information

Parent/Guardian Consent, Emergency Medical Authorization, and Acknowledgment of Risk