2019 FSA Registration

July 21 - 23, 2019

5:30 PM - 8:30 PM

For Boys & Girls Entering Grades 1st - 8th

Name*

First NameLast Name

Check One*

BoyGirl

Birth Date*

MonthDayYear

Name of School Attending*

Grade Entering Fall 2019*

Shirt Size

	Small	Medium	Large	X-Large
Youth
Adult

Allergies

Parent / Gaurdian Name*

First NameLast Name

Phone Number*

Area CodePhone Number

This phone number needs to be a phone number that can be used to check kids in and out of each night.

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Fellowship Sports Academy (FSA) is a FREE activity and sports camp. There are 100 enrollment spaces available. Please submit your registration ASAP to reserve your spot. Registration will close when maximum capacity is reached.

Activities will include flag footabll, ultimate frisbee, nine square, indoor challenge games, dinner served served nightly and an Athlete Testimony Spotlight. Each participant will receive a t-shirt as well as a medal on the last night. We will also host an ice cream social on Tuesday night at 7:45 PM for all participants and their parents/gaurdians. Participants are to be picked up PROMPTLY at 8:30 PM each evening.

ASSUMPTION OF RISK / WAIVER OF LIABILITY AND RELEASE

I give my permission for my child to particpate in ALL of the Fellowship Sports Academy's activities.

In consideration of my child's application being accepted, I, indetending to be legally bound, do hereby, for myself, my heirs, executors and administrators, waive, release, and forever discharge any and all rights and claims for damages, which my child may have or which may hereafter accrue to them against Fellowship Jonesboro to their respective officers, agents, representatives, successors, and/or assigns; for any and all damages which may be sustained or suffered by them in conjunction with their assosciation with or participation in.

Parent / Gaurdian Signature

Fellowship Sports Academy Registration