North Seattle Church - Sports Registration

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Child's First Name

Child's Last Name

Emergency contact

Relationship to child

Phone Number

Email

Child's Birthdate

Rising Grade

Child's Age

Does your Child have any known Allergies?

Yes

No

If Yes, Please list the allergies.

Does your child take any medication?

Yes

No

Please list the Medications

Is there anything else we should know about your child to help with their sports experience?

Register my child for the following weeks of camp.

Basketball Camp Week 1 (July 14th-18th)

Basketball Camp Week 2(July 28th-Aug 1st)

Soccer Camp (Aug 11th-15th)