NEBC Soccer Camp
Join us as combine soccer and Jesus.  Children will learn basic soccer skill and learn about Jesus each night!

Event Ages: Children born from 2010-2018 (ages 5-10)
Event Timing: July18-22 6-8pm
Event Address: 5115 Eastex Freeway Beaumont TX 77706
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Parent Name *
Parent Phone Number *
Parent E-mail *
Participants Name (1) *
Participants Birthday  (1) *
Participant (1) Shirt Size *
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Participants Birthday (2)
Participant (2) Shirt Size
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Participants Name (4)
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Authorized Individuals to pick up the participant. (ex. parent, grandparent, daycare etc) *
All registered: Are there any medical conditions or allergy issues we need to be aware of including but not limited to food, contact allergies, medication needed.  Please also include the treatment plan for any issues. (example: peanut allergy=administer epi pen that he keeps in his pocket or asthma= use inhaler and get to somewhere cool) *
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