2022 Soccer-Bible Saturdays Registration
July 9, 16, and 23, 2-4PM. Children may attend one, two, all three Saturdays. Registration is free, but space is limited.

This camp is for children ages 5-10. If you would like to make arrangements for older siblings to attend, call (906-632-2640). Please send your child with athletic shoes (soccer shoes preferred), shin-guards, and sunscreen.

Before your child attends, we will need to have a signed medical release form in file. This form will be provided on site, and reads as follows:

THE PARTICIPANT IS RESPONSIBLE FOR HIS OR HER OWN MEDICAL COVERAGE
NOTICE OF WARNING:  There is a potential risk in training and participating in any sport, and we have tried to create a safe environment.  The coaches have established rules for participation, and proper conduct on or about the playing field must be followed.
AGREEMENT:  I have read and understand the policies and the risk involved.  I hereby agree that my children will follow all rules for good order and safety during this event.  I agree and understand that neither Immanuel Lutheran Church, nor any of the volunteers involved are liable for any injuries received while participating or playing in the activity for which I am registering herein, or for the loss or damage to equipment.  I agree that I shall make no claim and bring no action, suit, or proceeding for any and all damages, losses, liabilities, or costs in any manner suffered or incurred as a result of my participating in the activity for which I am registering herein, and I hereby release Immanuel Lutheran Church and its officers, directors, and pastor, from any and all damages, liabilities, or costs in this regard.

Sign in to Google to save your progress. Learn more
Parent/Guardian(s) Name(s) *
Home Address *
City, State, Zip Code *
Church Membership *
Example: "Immanuel Lutheran Church (WELS)"
Home Phone # *
"xxx-xxx-xxxx" or "N/A" if none
Cell Phone # *
"xxx-xxx-xxxx" or "N/A" if none
Email Address *
Emergency Contact Name *
Emergency Contact Relationship to Child(ren) *
Emergency Contact Phone # *
"xxx-xxx-xxxx"
Person(s) Picking Up Child(ren) *
@ 4PM
1st Child Name *
(first and last)
1st Child Age *
1st Child - Day(s) Attending *
Required
2nd Child Name
(first and last)
2nd Child Age
2nd Child - Day(s) Attending
3rd Child Name
(first and last)
3rd Child Age
3rd Child - Day(s) Attending
4th Child Name
(first and last)
4th Child Age
4th Child - Day(s) Attending
5th Child Name
5th Child Age
(first and last)
5th Child - Day(s) Attending
Allergies/Medical Conditions *
(Respond "N/A", if none)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy