MINI Soccer Camp for Christ (SK-Gr 2) Registration 2019
July 2-6 at Grace Christian Reformed Church, 255 Tweedsmuir Ave W, Chatham
Tuesday-Friday from 9am-12:00pm
Saturday from 9am-11:30am, at Grace CRC, beginning with BREAKFAST
*You must pick up your child before 11:30am on Saturday*
Registration must be confirmed by $25 e-transfer to sc4cchatham@gmail.com, password: Soccer19 AFTER receiving an email from us that space is available.
Children must be entering SK-grade 2 to be eligible for MINI Soccer Camp 4 Christ 2019
Please fill out one form per child

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Child's First Name *
Child's Last Name *
Child's Birthday *
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Grade in September 2019 *
Gender *
Address *
City *
Postal Code *
Parent(s)/Guardian(s) name(s) *
Primary Phone Number *
Phone number in case of emergency *
Work Phone Number
Alternate Emergency Contact Person and Phone Number
Primary Email address (the majority of our communication with you will be through email, unless you request otherwise)
Would you like to receive occasional email updates from sc4cchatham@gmail.com regarding next year's camp and other community church events?
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T-Shirt Size *
Pick up Authorization: Who will be picking your child up?
Pick up Concerns:  Should we be aware of someone who MAY NOT pick up your child from Soccer Camp for Christ?
Has your child ever had or currently have? (choose all that apply)
Has your child had any of the following in the past year?
Please list any allergies
If your child is taking medication, please list any that we should be aware of
If your child requires medication during the camp day, please note that SC4C personnel are not able to administer any medications to a child.  Who will be authorized to provide medication for your child?
Does your child struggle with any behaviour challenges?  Does your child have any behaviour challenges that would require additional supervision?
Behaviour Expectation Policy: If a child is struggling to participate well in his or her team at soccer camp, his or her team leader will ask one of our designated Head Coaches to assist the child until the issue can be resolved.  If the issue cannot be resolved after 15 minutes of one-to-one assistance with a Head Coach, the Camp Director will contact the child’s parent/guardian and ask that the child be picked up from camp as soon as possible.  The child may attend camp the next day. I have read, understood and agree with this policy. *
Required
Does your child regularly attend church?
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If your child regularly attends church, please list which church:
Saturday BREAKFAST: On July 6 at 9:00am, there will be a Breakfast and World Cup Activities at Grace CRC, 255 Tweedsmuir Ave West.  Friends and family are very welcome!  Please indicate how many persons will be attending the Breakfast (including the child registering for camp).  If you are filling out registration forms for more than one child, please include all guests on just one form.
Financial Assistance: I am in need of financial assistance from the churches for the cost of soccer camp
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Payment Information: We will again be accepting e-transfers to cover the registration fee. AFTER we confirm that there is a spot available for you, please send your e-transfer to sc4cchatham@gmail.com and use the password: Soccer19  If you cannot use e-transfer, please comment below and bring payment to Grace CRC during office hours.
Protecting your Personal Information: Your child's health and personal information is collected to ensure the safety and well-being of each person involved in our camp ministry.  This information will only be seen by our camp volunteers and will be kept in a secure place.  I have read and understood this explanation. *
Medical/Video/Photography Authorization: I hereby authorize the staff and volunteers of the Soccer Camp 4 Christ to make any and all decisions regarding the emergency treatment of my child.  I also hereby authorize the staff of the Soccer Camp 4 Christ to take video and still photos of my child during camp.  I have read, understood and agree with the above and hereby release and discharge all parties associated with this camp from any and all claims, demands, actions, and causes of action, that I/we or my/our child(ren) incur(s).   *
Required
Registration Policy: There are limited spots available at Soccer Camp for Christ.  Registration will be first come, first served. You will be notified that a spot is available for you, or that you are on the waiting list, when you have submitted this form. You will receive confirmation of camp registration if your etransfer payment or other arrangement is made within ONE WEEK. I have read, understood and agree with the above statement.  I understand that submitting this form does not guarantee a spot for my child at soccer camp. *
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