EmailMe Form - Registration Form:

Parent/Guardian *
First Last
Parent/Guardian
First Last
Primary Phone *
### - ### - ####
Secondary Phone *
### - ### - ####
Email *
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Child Information
Please fill-out all information
Child #1 Name *
First Last
Age/Grade (just completed) *
4-5 Years Old
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Allergies/Concerns

Choose Sport *

Sport (1st Choice)
Sport (2nd Choice)

Child #2 Name
First Last
Age/Grade (just completed)
4-5 Years Old
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Allergies/Concerns

Choose Sport

Sport (1st Choice)
Sport (2nd Choice)

Child #3 Name
First Last
Age/Grade (just completed)
4-5 Years Old
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Allergies/Concerns

Choose Sport

Sport (1st Choice)
Sport (2nd Choice)

Medical Waiver Form *
I Understand
Medical Waiver
I, the undersigned parent/guardian, do hereby grant permission for my sons/daughters, named above, to attend the camp. In order that my children may receive the proper medical treatment in the event that he/she may sustain injury or illness during MEGA SPORTS CAMP, I hereby authorize the camp staff to obtain or provide medical treatment for my children for such injury or illness during the camp, and I hereby hold the camp staff and sponsoring organization(s), as well as its representatives, harmless in the exercise of this authority. I further understand that there is always a possibility that my children may sustain physical illness or injury while at the camp. If this occurs, I hereby authorize the camp staff and representatives to refer my child to a medical treatment center (hospital, etc.). I further acknowledge and understand that I will be responsible for any medical bills that may be incurred on behalf of my son/daughter for physical illness or injury that he/she may sustain during the camp. Understanding that there is always a possibility that my children may sustain physical illness or injury, I acknowledge and understand that my children are assuming the risk of such physical illness or injury by his/her participation, and I further release the sponsoring organization and its representatives from any claims for personal illness or injury that my children may sustain during the camp. I further acknowledge and understand that my children will be responsible for his/her failure to abide by the rules and regulations of the camp.
Video and Picture Release Statement *
I Understand
Video and Picture Release Statement
I understand that while participating in MEGA SPORTS CAMP my child may have his or her picture taken. I give my consistent to allow Westridge Christian Church to use my child’s picture for promotional use only.
Christian Camp Agreement *
I Understand
Christian Camp
I understand that MEGA SPORTS CAMP is a Vacation Bible School that will be held at Westridge Christian Church. I understand and acknowledge that my children will be taught Christian beliefs, ideals, and morals during their time at MEGA SPORTS CAMP.

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